A modified 'Two-Stitch' technique for securing Jackson-Pratt drains to prevent accidental dislodgement- A technical note

Secure fixation is important when a Jackson-Pratt drain is used after surgery. This technical description advocates an established suture-fixation principle rather than introducing a new knot. It explains a mattress-type skin anchor, circumferential tube fixation and a returning double thread passed through the skin-suture loop before final fixation. The arrangement is related to the published Jo'burg configuration. Its intended value is to make the fixation sequence and mechanical rationale easier to understand. The method is used in the author's practice, but no patient series, measured application times, pull-out testing or comparison of clinical outcomes is presented. Published chest-drain biomechanical findings cannot establish the performance of this configuration in smaller, softer JP drains. The description supports further evaluation rather than a claim of clinical superiority.