• Two sutures should be used
    • One stay suture to assist with later closure
    • Sutures to secure the drain – usually suture across a linear incision
  • Purse string sutures should not be used – leave unsightly scars and can be painful
  • Sutures should be strong and non-absorbable (usually “1” silk)
  • Usually not required for small drains



  • Avoid large amounts of tape and padding
  • Transparent dressing to allow inspection for leakage and infection
  • And omental tag of tape allows movement and avoids kinking
How to secure a chest drain (Adapted from BTS guidance)