Evaluation of an Integrated Smart Sensor System for Real-Time Characterization and Digitalization of Postoperative Abdominal Drain Output: A Pilot Study. (June 2022)

• Record Type: Journal Article
• Authors: Roser, Mario V.; Frank, Alexander H. R.; Henrichs, Lea; Heiliger, Christian; Andrade, Dorian; Ritz, Laura A.; Sabo, Jan; Rauschmayr, Andreas; Muensterer, Oliver; Werner, Jens; Karcz, Wojciech Konrad; Berger, Michael F.
• Is Part Of: Surgical innovation. Volume 29:Number 3(2022)
• Page Start: 438
• Page End: 445
• Publication Date: 2022-06
• Subjects: surgical drains -- abdominal surgery -- postoperative care -- surgical innovation -- spectroscopy -- digital healthcare -- digital patient -- real-time monitoring; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/15533506211031459
• Languages: English
• ISSNs: 1553-3506

Abstract

Background : For centuries, surgeons have relied on surgical drains during postoperative care. Despite all advances in modern medicine and the area of digitalization, as of today, most if not all assessment of abdominal secretions excreted via surgical drains are carried out manually. We here introduce a novel integrated Smart Sensor System ( Smart Drain ) that allows for real-time characterization and digitalization of postoperative abdominal drain output at the patient's bedside. Methods : A prototype of the Smart Drain was developed using a sophisticated spectrometer for assessment of drain output. The prototype measures 10 × 6 × 6 cm and therefore easily fits at the bedside. At the time of measurement with our Smart Drain, the drain output was additionally sent off to be analyzed in our routine laboratory for typical markers of interest in abdominal surgery such as bilirubin, lipase, amylase, triglycerides, urea, protein, and red blood cells. A total of 45 samples from 19 patients were included. Results : The measurements generated were found to correlate with conventional laboratory measurements for bilirubin (r = .658, P = .000), lipase (r = .490, P = .002), amylase (r = .571, P = .000), triglycerides (r = .803, P = .000), urea (r = .326, P = .033), protein (r = .387, P = .012), and red blood cells (r = .904, P = .000). Conclusions : To our best knowledge, for the first time we describe a device using a sophisticated spectrometer that allows for real-time characterization and digitalization of postoperative abdominal drain output at the patient's bedside.