Explantation of the catheter

The catheter can be left in place for as long as you need it. Sometimes you may still need to remove the catheter. When there is less than 50 ml of fluid on three consecutive drains, one of the following examples may be the cause:

  • The course of the patient’s disease can cause that no more ascites or pleural fluid is formed.
  • A pleurodes has occurred.
  • The catheter is in a pocket without liquid.
  • There is a blockage in the catheter, which cannot be remedied by flushing.

If you then need to remove the catheter, we recommend the following procedure:

Procedure for explantation of indwelling catheter

  1. Check bleeding parameters.
  2. Prepare a workplace under sterile conditions.
  3. Position the patient so that it is easy to access the catheter.
  4. Generously apply local anaesthetic at the exit point of the catheter (wait until it has taken effect).
  5. Feel with your fingers for the location of the polyester cuff (thicker part).
  6. Make an incision in the skin directly at the exit point of the catheter. Use a blunt peang or similar to release the cuff by circular movements around the cuff. Only the cuff of the catheter grows into the subcutaneous tissue, but there may be aggravating circumstances due to. catheter position or tumour growth.
  7. One hand is gently placed over the tunneled part as resistance and the catheter is pulled out with the other hand. If the entire catheter cannot be pulled out, an additional incision is made at the end of the tunneled section. For orientation, the skin sutures at the puncture site can help. Then the part of the catheter that goes into the body can be removed separately.
  8. Finally, skin incisions at the incision(s).
  9. Bandage

Do you have any questions?

Here are some of our frequently asked questions.