Evaluation of pre and post operative status of hepatic and renal function conditions in open cholecystectomy patients
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 1
Abstract
Background: Cholecystectomy is one of the most commonly performed abdominal surgical procedures. For the last 150 years, morbidity and mortality for surgical procedures have been accepted as unavoidable parts of the therapeutic process. Since the late 1980s, however, it has become evident that less invasive interventional methods have reduced overall risks of death and morbidity. To aim of our study was to evaluate pre and postoperative status of hepatic and renal function conditions in open cholecystectomy patients. Methods: Total 30 patients with chronic calculus cholecystitis underwent open cholecystectomy during the period of 2017 Jan to 2018 May at Upgraded Department of Surgery, DMCH, Laheriasarai, Darbhanga. Results: The most susceptible age group was 30 – 50 years and female to male ratio was 3.28:1. Liver function tests were done in the per-operative period in all patients. Serum bilirubin, AST and ALT levels were raised significantly in open cholecystectomy All the parameters normalized within seven days after operation. Regarding renal function tests, there was no significant change in routine urine examination and creatinine clearance. There was elevation of serum urea and creatinine level in very few patients due to pneumoperitoneum. They also normalized within seven postoperative days. Conclusion: There occurred significant unexplained disturbance in liver function and renal function in open cholecystectomy. It is suggested that the reason for these phenomenon is the pneumoperitoneum related intra-abdominal hypertension. However as large study group is necessary to obtain more statistically significant result.
Authors and Affiliations
Wahhaj . , V S Prasad, Ahmad Hashmi
Keywords
Related Articles
- EP ID EP471575
- DOI 10.26611/1069110
- Views 164
- Downloads 0
A comparative study of different anatomical position, clinical presentation and USG findings CT scan plain/CECT with operative findings in patients of appendicitis in a rural medical college
Background: The objective was to find out and compare accuracy of USG findings with that of per-operative findings of location and status of appendix, to compare, evaluate and study the signs and symptoms in different va...
Comparison between removal of umbilicus versus saving the umbilicus along with umbilical sinusectomy for infected umbilical sinus
Background: Umbilical sinus is a very rare variety of malformation among all the vitellointestinal duct anomalies. There are two causes of umbilical sinus. One arising from the remnants of vitellointestinal duct and anot...
Ectopic thyroid with thyrotoxicosis: Rare presentation of lingual thyroid in child
Lingual thyroid is a rare anomaly exact pathogenesis of which is not known. It is a common presentation of ectopic thyroid. Occurs in about 1 in 100,000 populations. It’s common in females, but very rare in children. Usu...
Surgical management of carcinoma urinary bladder at tertiary care teaching hospital in central India
Background: Surgery a very important part of the management of invasive urinary bladder cancer, used mostly in the more classical approach (i.e. radical cystectomy with or without bladder reconstruction) or as a componen...
Enlarged prostatic utricle - An unusual presentation
To emphasise that in a patient with retrovesical cyst with clinical history of recurrent urinary tract infection, an enlarged prostatic utricle must be included in differential diagnosis