A Prospective Study on Cholelithiasis and Its Complications
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
The aim of the present study is to comprehensively study and evaluate the common etiological factors, types of clinical presentations and ultrasonography findings in Cholelithiasis, various reasons for diversion in the treatment (other than laparoscopic cholecystectomy, which is the gold standard), and to study the postoperative complications (if any) and incidence of various types of gallstones.Patients and methods: This hospital based prospective study includes100 consecutive casesdiagnosed with cholelithiasis admitted in Siddhartha Medical College and General Hospital between October 2015 to October 2017. Results: Increased incidence of cholelithiasis in the 5th and 6th decade. Female to male ratio is 3:2. Diabetes was noted as a risk factor in 44% of patients. 96 patients were reported as having chronic cholecystitis, 4 patients had acute cholecystitis and no evidence of rupture or gangrene or malignancy was noted.The operating room time for open cholecystectomy was 60-120 min withan average of 90 min and laparoscopic cholecystectomy was 40-100 min withan average of 70 min. The conversion rate from laparoscopic to open cholecystectomy was 4%. Bile duct injury was the most common complication, followed by wound infection.Conclusion: Majority of patients with cholelithiasis were females, age in the 5th decade with pain as most common presenting symptom and tenderness in right hypochondrium as most common sign.One should not hesitate to convert to open cholecystectomy if significant adhesions or inflammation are identified during laparoscopy.Subcostal incision was the most common incision used for open cholecystectomy.The pain and duration of hospital stay was less and patients can be discharged quickly when laparoscopic cholecystectomy was done.
Authors and Affiliations
Dr. K. Srinivasa Rao
Keywords
Related Articles
- EP ID EP250810
- DOI 10.9790/0853-1612070104
- Views 80
- Downloads 0
Mannheim Peritonitis Index in Predicting the Morbidity and Mortality in Patients with Peritonitis Due To Hollow Viscous Perforation
Various methods and scoring systems are used to identify the risks and morbidity and mortality in patients with peritonitis due to hollow viscus perforation. Early assessment by scoringsystems will influence the manageme...
A Study on Health Profile of First Year Medical Students in A Medical College of North Andhra Pradesh
Background: Well motivated health professionals can be good role models for the communities. Detection of predisposing factors of diseases like hypertension, Diabetes, obesity, anemia etc. is vital in modification of lif...
A Simple Technique to Maintain Duct Patency- A Technical Note
Salivary duct lithiasis is a condition characterized by obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions or sialolith resulting in salivary ecstasia and even provoking...
Study the Efficacy of Jeeraktritraya Churna with Takra in Sutika Awastha
to being mother is great achievement in women life especially when it comes to antenatal and postnatal care. Sutika reffers to puerpurial postpartum stage of women. sutika kala begains assoon as placenta is expelled for...
Occurrence of Hookworm–Whipworm co-infection among the HIV/AIDS patients of Noney district of Manipur, India
As a part of the on-going research work and in continuation of an existing programme pertaining to the copro-parasitological survey work on the prevalence and epidemiology of enteric parasitosis associated with HIV/AIDS...