Periprocedural Care
Equipment
A diagnostic peritoneal lavage (DPL) kit, either commercially available or preassembled in the hospital, contains the following (see the image below):
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Scalpel (No. 11 and No. 15 blades)
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Hemostats (2)
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Alice forceps (2)
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Toothed dissecting forceps
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Retractors (2)
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Syringes (2), 5 mL
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Syringe, 10 mL
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Needles, 18 and 21 gauge
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Lidocaine 1% with epinephrine
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Warm lactated Ringer solution or normal saline solution (0.9% NaCl), 1 L
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Intravenous (IV) bottle or bag connected to an IV set
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Absorbable sutures, 4-0
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Needle holder
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Fenestrated drape
Next:
Patient Preparation
Anesthesia
Typically, local anesthesia is obtained by infiltrating lidocaine 1% with epinephrine. (For more information, see Local Anesthetic Agents, Infiltrative Administration.)
Positioning
The patient should be kept in a supine position.
Previous
Media Gallery
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Closed diagnostic peritoneal lavage (DPL) technique. Guide wire (Seldinger technique) is inserted into peritoneal cavity via midline approach just below umbilicus and should be aimed caudad. Wire should be directed toward left or right pelvic gutter as it is advanced through needle and should enter peritoneal cavity without resistance. Next, needle is withdrawn while wire is stabilized, and stab incision is made with No. 11 scalpel adjacent to wire. DPL catheter is placed over wire with twisting motion directed toward right or left pelvic gutter and advanced into peritoneal cavity.
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Diagnostic peritoneal lavage kit.
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Positive result from diagnostic peritoneal lavage.
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Open diagnostic peritoneal lavage preparation.
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Open diagnostic peritoneal lavage incision.
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Open diagnostic peritoneal lavage dissection.
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Open diagnostic peritoneal lavage retraction.
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Open diagnostic peritoneal lavage catheter insertion.
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