A clinicopathological study and management of cholelithiasis
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 7
Abstract
Background: Gallstones are one of the commonest medical problems leading to surgical intervention. There is recent rise in the incidence of cases due to westernization of diet. This study intends to know the various modes of presentation, its complications and various treatment modalities with their outcomes. The aim of the study is to study the prevalence of cholelithiasis and to evaluate the advantages and disadvantages of laparoscopic versus open cholecystectomy surgical procedures. Material and methods: This was a prospective study conducted at tertiary care centre for a period of two years. 100 consecutive cases of cholelithiasis were admitted, investigated and operated during this period and results analysed. Results: Cholelithiasis was common in the 4th decade with majority of cases occurring in females. The commonest clinical presentation was pain abdomen. All the cases were diagnosed on ultrasonography abdomen. The diet consumed was mixed diet. Laparoscopic cholecystectomy was done in 72 cases and 28 cases underwent open cholecystectomy. The conversion rate was 4%. The complications were minimal. Mean operating time for open cholecystectomy was 96 minutes and laparoscopic cholecystectomy was 90 minutes. Mean duration of hospital stay was 9 days for open cholecystectomy and 4 days for laparoscopic cholecystectomy. Conclusion: Laparoscopic cholecystectomy is a safe and effective treatment in most of the patients with symptomatic cholelithiasis. In cases of adhesions and inflammation, open cholecystectomy is preferred.
Authors and Affiliations
Vigna Sai Potula
Keywords
Related Articles
- EP ID EP415034
- DOI -
- Views 93
- Downloads 0
Comparison of various techniques in the management of fistula in ano
Introduction: Fistula in ano is the benign anorectal condition, but became a major problem for surgeons to cure the disease. For proper treatment of fistula in ano, a thorough knowledge of Anorectal anatomy and etiopatho...
A study of maternal mortality in a teritiary care hospital in North Coastal Andhra
Background: Pregnancy, although being considered a physiological state, carries risk of morbidity and at times death. Maternal mortality is an indicator for health care provided to the women. The major causes of maternal...
Study of serum magnesium levels and its correlation with febrile convulsions in children aged 6 months to 5 years of age
Background: Various studies have shown the correlation between Magnesium, Zinc and Copper levels in Serum and Cerebrospinal fluid (CSF) and occurrence of Febrile Convulsions. Hypomagnesaemia is characterized by hyper exc...
Clinicoepidemiological profile of sexually transmitted disease (STD) patients presenting in a tertiary care center
Background: Sexually transmitted infections (STIs) constitute a major health problem in the developing countries and prevalence of STIs varies from region to region in our country. Aim: To study the pattern and prevalenc...
Management of lower ureteral stones using Tamsulosin - A prospective study
Introduction: It has been scientifically established that α1-adrenergic antagonists cause inhibition of the basal tone, peristaltic frequency, and contractions in the lower ureter. Earlier studies have shown promising re...