Atul Khajuria,
Mohammad Younus Ganaie,
Bilkees Bashir,
- Dean, Faculty of Allied & Healthcare Sciences, Rayat Bahra Professional University, Hoshiarpur, Punjab, India
- Assistant Professor Cum Senior Executive, Rayat Bahra Professional University, Hoshiarpur, Punjab, India
- Assistant Professor, Department Allied & Healthcare Sciences, Rayat Bahra Professional University, Hoshiarpur, Punjab, India
Abstract
Surgical drains are widely used in postoperative care to evacuate accumulated fluids, minimize dead space, and reduce complications such as hematoma and seroma formation. Despite their clinical importance, conventional drains are frequently associated with retrograde bacterial migration, biofilm formation, and increased risk of surgical site infections (SSIs), which contribute significantly to postoperative morbidity and prolonged hospital stay. Recent advancements in nanotechnology have enabled the development of nano-functionalized surgical drains with enhanced antimicrobial properties, improved biocompatibility, and the ability to actively promote tissue healing. Nanomaterials – such as silver nanoparticles, zinc oxide, titanium dioxide, and bioactive glass – have been incorporated into drain materials and coatings to inhibit bacterial adhesion, disrupt biofilm formation, and provide sustained antimicrobial effects. These nanoscale modifications significantly improve the safety profile of surgical drains by addressing one of their most critical limitations – microbial colonization. In addition to infection control, nanotechnology contributes to improved wound healing. Bioactive nanoparticles interact with cellular pathways to stimulate angiogenesis, modulate inflammatory responses, and enhance fibroblast proliferation, thereby accelerating tissue repair. Emerging smart drainage systems incorporating nanosensors and drug-eluting capabilities further extend the functionality of surgical drains by enabling real-time monitoring of wound environment and targeted therapeutic delivery. Evidence from experimental and clinical studies demonstrates that nano-enhanced drains reduce bacterial load, decrease SSI incidence, and shorten recovery time compared to conventional systems. However, concerns regarding long-term toxicity, cost-effectiveness, and regulatory approval remain challenges for widespread adoption. This review critically evaluates current developments in nanotechnology applied to surgical drains, focusing on mechanisms of antimicrobial action, clinical benefits, limitations, and future perspectives. The integration of nanotechnology into drainage systems represents a major advancement in postoperative care, with the potential to significantly reduce infection rates and improve surgical outcomes.
Keywords: Nanotechnology, surgical drains, infection control, biofilm, wound healing, nanoparticles
[This article belongs to Research and Reviews : Journal of Surgery ]
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Research and Reviews : Journal of Surgery
| Volume | 15 | |
| Issue | 02 | |
| Received | 20/04/2026 | |
| Accepted | 03/07/2026 | |
| Published | 29/08/2026 | |
| Publication Time | 131 Days |