Evaluation of Early Laparoscopic Cholecystectomy for Acute Calculus Cholecystitis in Semiurban Setup in Western U.P
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: The common approach for management of acute calculus cholecystitis consist of an initial control of inflammation followed by interval cholecystectomy after a period of 5 weeks. However there is an increased risk of gallstone related morbidity during the waiting period for cholecystectomy. The aim of this prospective randomized study was to evaluate the safety and feasibility of early laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed cholecystectomy. Material and methods: The study was conducted in department of surgery, Muzaffarnagar medical College and hospital, Muzaffarnagar in a period of 2 years. The study population included patient between 18-60 years of age with acute calculus cholecystitis presenting to Surgery OPD and emergency of Muzaffarnagar medical College, Muzaffarnagar fulfilling the inclusion criteria. Results: The mean duration of surgery was significantly longer in the early group (65.78 minutes) as compared to the delayed group (56.83 minutes). There is no statistically significant difference in incidence of intraoperative bile or stone spillage, conversion to open, postoperative drain requirement, postoperative pain and postoperative stay. The mean duration of overall hospital stay was significant between the two groups. Conclusion: The main advantage of the early laparoscopic surgery is the definitive treatment offered at the initial admission, avoiding the problems of failed conservative management, recurrent symptoms and complications. Furthermore, early surgery is associated with a shorter total hospital stay, which is more economic benefit to both the patient and the health care system.
Authors and Affiliations
Kumar Spandan, Singla Mamta, Attarde Niket, Maurya Arvind Kumar, Iyengar Madhvan, Sharma A C
Keywords
Related Articles
- EP ID EP425513
- DOI -
- Views 108
- Downloads 0
Serum Ferritin Level - A Predictor of Hemorrhagic Transformation in Acute Ischaemic Stroke
Introduction: Hemorrhagic transformation (HT) in acute ischemic stroke (AIS) is associated with significant morbidity and mortality. High serum ferritin has been claimed to be associated with HT. This study investigated...
An Experience of Laryngopharyngeal Reflux in Chest Disease Hospital
Introduction: Laryngopharyngeal reflux (LPR) refers to the backflow of stomach contents into the throat that is into the hypopharynx. LPR is different from classical GERD. Chest physicians routinely see such patients and...
Phenotypic and Genotypic Identification of Acinetobacter baumannii with Special Reference to Blaoxa-51Like Gene and its Antimicrobial Susceptibility Pattern from Intensive Care Unites in Kanpur
Introduction: Acinetobacter baumannii are important nosocomial pathogens being increasingly reported worldwide in critically ill patients. Resistance to multiple antimicrobial agent are major concern for all clinical set...
Hepatic Changes Induced by Leflunomide in Swiss Albino Mice Fetuses
Introduction: Rheumatoid arthritis is an autoimmune disorder commonly affecting the females and pregnancy with this is a challenge for gynaecologists. Drugs used for treating rheumatoid arthritis during pregnancy should...
Psychogenic Limb Length Discrepancy of Upper Limbs
ntroduction: Body dysmorphic disorder is an obsessive preoccupation that some aspect of one's own appearance is severely flawed. The thoughts are pervasive and intrusive, keeping the person occupied for several hours a d...