Laparoscopic Cholecystectomy with and without Drainage - A Comparative Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: In India gallstones are most common and costly digestive disease and are a major cause of hospitalization. Laparoscopic Cholecystectomy (LC) has received nearly universal acceptance and is currently considered the criterion standard for the treatment of symptomatic cholelithiasis. Drains are placed to reduce complications after LC but on the other hand it has been found to increase infective complications and delay discharge.So the present study was conducted with the aim of assessing the effect of drain use and no drain use in patients undergoing elective laparoscopic cholecystectomy. Material and methods: The study included 60 patients selected by convenience sampling technique, Who underwent four port laproscopic cholecystectomy. These were randomly divided into two groups: drain was placed in even group and no drain was put in odd group. All Patients were assessed on following parameters postoperatively including abdominal pain (Visual Analogue Scale), Shoulder pain, Drain site infection, Wound infection, Fever, Duration of post—operative hospital stay, Nausea, Vomiting, Haemorrhage. Results: Both the goups were homogenenous in terms of age and gender (p>0.05). Postoperative stay and rate of wounf infection was higher in drain group as compared to no drain group (p<0.05). There is no difference in terms of nausea and vomiting among two groups. Haemorrhage was absent in all the cases in both drain group and no drain group. Howerver a total of 6 (20.00%) patients in drain group developed drain site infection and majority i.e. 28 (93.33%) of patients complained of pain on drain removal. Conclusion : So it is concluded that use of drain in case of elective laparoscopic cholecystectomy does not provide any benefit infact it increases the chances of wound infection as well as there is an increase in postoperative hospital stay. So use of drain is not recommended as a routine practice after laparoscopic cholecystectomy.
Authors and Affiliations
Mandeep Singh, Karnail Singh, Inderjit Singh Chawla
Keywords
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