# Fluoroscopy-Guided Removal of Tethered Surgical Drain via Guidewire Electrification: A Case Report

## TL;DR

A new method using electrified guidewires was used to remove a stuck surgical drain without reopening the incision, potentially reducing infection risks and hospital stays.

## Contribution

This paper introduces a novel fluoroscopy-guided technique using guidewire electrification to remove tethered surgical drains.

## Key findings

- A retained deep drain was successfully removed using fluoroscopy-guided guidewire electrification.
- The technique avoided reopening the original incision and potential surgical site infection.
- The method shows promise as an alternative to traditional open removal procedures.

## Abstract

Tethered postoperative drains are not uncommon complications that often require open removal in the operating room, which can increase risks of surgical site infection as well as length of hospitalization. We present a novel method of tethered drain removal through guidewire electrification. A retained deep drain following a posterior cervical laminectomy and fusion was identified after failed manual removal. Under fluoroscopic guidance, the retaining suture was indirectly identified through the obstruction of an inserted guidewire, through which monopolar cautery was applied, breaking the suture and allowing drain removal. The original incision did not need to be re-opened. While further investigation is necessary for validation, this technique shows great promise as an alternative to open removal.