Conclusion
Prolonged pleural drainage after the Fontan procedure is a common
complication that might sometimes require re-operation and
re-intervention. Standardization and strict application of the medical
treatment within a specific protocol without being affected by doctor,
nurse or patient-based factors increases the success. After the changes
in our medical management strategy, along with the decrease in total
drainage and duration of pleural drainage, LOHS was also reduced, of
course together with a reduction in the cost.