Comparative study of patients after laparoscopic surgery with and without drain for duration of gas under diaphragm: residual pneumoperitoneum.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 6
Abstract
Background: The role of routine drainage after LC to decrease postoperative morbidity is still an issue ofconsiderable debate. The main reason to use drains in laparoscopic cholecystectomy is to avoid bile and blood collection requiring subsequent open procedures and to reduce post-operative Pain.Methods: A prospective randomized comparative study was conducted at Department of general surgery Mata Chanan Devi Hospital, New Delhi. The aim was to study the effect of drain on residual pneumoperitoneum after laparoscopic cholecystectomy and to determine the duration of residual Pneumoperitoneum with and without drain. A total of 60 consecutive patients of admitted during study period and undergoing laparoscopic cholecystectomy were included in the study and randomly divided into two groups of 30 each i.e., with and without drain. Results: Residual Pneumoperitoneum at 6, 12 and 24 hours was seen in 13.3%, 10% and 10% cases with usage of drain as compared to 20%, 6.7% and 6.7% cases without drain. No significant reduction in the Incidence of Residual Pneumoperitoneum was noted with use of drain (p>0.05). Conclusion: We conclude that routine use of drains is not justified as it use does not offer any significant advantage.
Authors and Affiliations
Hemant Kumar Garg
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