Atlantic Surgical Associates
Atlantic Surgical Associates
Atlantic Surgical Associates
Atlantic Surgical Associates

Patient Care Instructions

At Atlantic Surgical Associates, high quality patient care is our top priority. We have offered instructions on how to care for a drain, pain pump and suture line. We welcome patients from Edison, West Long Branch, New Brunswick and the surrounding areas of New Jersey and New York.

How Do You Perform Drainage Care?

Drain care is a clean procedure. Supplies do not need to be sterile, but you must wash your hands thoroughly with soap and warm water before performing drain care. Discard the drainage once in the morning and once in the evening and try to empty the drain at the same time each day. Pull the stopper out of the drainage bottle and empty the drainage fluid into the measuring cup. Record the amount of drainage fluid on the record sheet and dispose of the drainage fluid in a toilet or rinse it down a sink. Reestablish drain suction.

Various types of suction devices are used on wound drain systems. Prior to your discharge from the hospital, a nurse will specify which type of drain and suction device you have and will instruct you on proper drain care for your wound.

How Do You Correct  Problems With The Drain?

If the drain tube becomes temporarily obstructed or is not draining properly, you may bend the tubing over your fingers, gently squeeze the tube between your thumb and index finger, moving your fingers along the tubing toward the suction bottle to help dislodge the obstruction or blood clot. Please make sure to call your physician if the drainage suddenly stops (The drainage should decrease gradually, not abruptly, there’s a sudden change in the color of the drainage, the drainage should gradually change from blood to a straw-colored fluid, call if the drainage becomes bloody again or changes to a milky white fluid and there’s an increase in redness or swelling around the insertion site of the drain.

What Is a Pain Pump?

Your doctor has provided you with the Advanced Infusion pain control infusion pump. This is an advanced technology pump designed to administer a local anesthetic to the site of your pain for the next several days. This is the most critical time period in the control of your post operative pain. During this time, if you have any questions or concerns about the use of this pump, please do not hesitate to call your doctor.

The local anesthetic you are receiving is similar to the Novocain you receive when you go to the dentist. The local anesthetic numbs the surgical site and relieves your pain. It may also reduce your need for pain medications that contain narcotics which cause drowsiness, nausea, and constipation.If your pain continues after the infusion pump has emptied, your doctor may choose to refill the pump. The Advanced Infusion pain control infusion pump is contained within the hip pack you are or several catheters go from the infusion pump to the site of your surgery.

These catheters carry the local anesthetic that numbs the surgical area. A clear patch covers the area where each catheter enters the skin. This patch is used to prevent bacteria from entering the site where the catheter enters the skin and causing an infection. When the infusion pump is empty, the doctor will remove it. The adhesive patch over the catheter will be removed and the catheter will be pulled out. The hole left by the catheter is about the same size as the hole made by a hypodermic needle, and should close quickly on its own.

How Do You Manage And Care For The Pain Pump?

The Advanced Infusion pain control infusion pump is designed to be carried in its hip pack person and is completely portable.   The catheter(s) going from the pump to the insertion site can be easily broken or pulled out from the skin. Handle them carefully!

Do not get the pump, catheter, or dressings wet! This may lead to infections. Do not tamper with the pump, catheter, or dressings in any way unless instructed by your doctor to do so.  If any problems arise such as leakage, discomfort, excessive pain, or breakage of the pump or catheter, contact your doctor immediately.

How Do You Manager and Care For A Suture (Incision) Line?

Suture (incision) line care is a clean procedure. Supplies do not need to be sterile, but you must wash your hands thoroughly before performing the procedure. Suture line care should be done twice a day unless instructed otherwise. In a basin or cup, mix 1 part hydrogen peroxide with 2 parts saline solution or distilled water. For example, mix 1/8 cup of hydrogen peroxide with 1/4 cup of saline solution or distilled water. Moisten the cotton-tipped applicators with the diluted hydrogen peroxide mixture. Using the moistened cotton-tipped applicator  gently wipe over the suture line and once down each side and wipe once down the middle of the incision, gently removing drainage and crusting. If crusting is difficult to remove, do not remove it. After cleaning the suture line, swab a thin amount of antibiotic ointment on a cotton-tipped applicator. Gently and evenly spread the ointment on the suture line.

What are the Signs and Symptoms on an Infected Suture Line?

If you experience an increase in redness, tenderness, or swelling of the suture line,  a marked or sudden increase in pain not relieved by the pain medication,  white pimples or blisters at or around the incision line or drainage from the suture line, notify your physician as this could be signs on an infection. Occasionally, a small amount of bloody or clear yellow-tinged fluid may drain. Notify your physician if it persists or if it changes in consistency.

Some symptoms of an infected suture line are a persistent elevation of body temperature greater than 100.5 degrees Fahrenheit, sweats or chills, skin rash, persistent sore throat, scratchy throat or pain when swallowing, persistent sinus drainage, nasal congestion, headaches, or tenderness along the upper cheekbones, dry or moist cough that lasts more than two days, white patches in your mouth or on your tongue, nausea, vomiting, diarrhea, trouble urinating or bloody, cloudy or foul-smelling urine.

If you would like more information on our current specials or would like to schedule your initial consultation with Dr. Boris Volshteyn, contact us today. Atlantic Surgical Associates is proud to serve the residents of East Brunswick, Edison and West Long Branch, NJ, as well as the nearby areas of New York.


  • Plastic Surgery in New Jersey
    To all of you at the office of Boris Volshteyn M.D., Thank you very much for juggling the schedule and getting me in for surgery in record time. Sometimes you just need to do it before you over think too much. I look forward to getting through this healing time and can’t wait to see my new body. Thank you all for everything especially Dr. Volshteyn.

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