Role of drainage tube in laparoscopic cholecystectomies: A comparative randomized study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 9
Abstract
Routine drainage after laparoscopic cholecystectomy is still debatable. The present study is designed to assess the role of drain in laparoscopic cholecystectomies performed in symptomatic cholelithiasis cases. Aims and objective of the study is to compare the effects (post operative pain, bile leak/collection, infection& hospital stay) of placement/non placement of drain following laparoscopic cholecystectomy. This comparative randomized observational study was carried out in the Department of Surgery, PDVVPF’S Hospital, and Ahmednagar. During study period of 1 yr, 50 cases of symptomatic cholelithiasis underwent laparoscopic cholecystectomies. Cases were divided into two groups. Group A with drainage tube, Group B without drainage tube. Patients aged between 18 to 70, both sex with preoperative diagnosis of Gall bladder stones, gall bladder polyp were included in this study. Exclusion criteria : Age <18 and >70, acute cholecystitis, patients with suspected mirizzi syndrome, common bile duct stone, malignancy, portal hypertension, ascitis, empyema of gall bladder, patient with previous upper abdominal surgery, pregnancy. This study consists of 50 patients (males 14 and females 36) with male female ratio of 1:3 and mean age of 36 years. In Group A (with drainage tube) Post-operative discomfort and pain was more than group B (without drainage tube) at 48 hrs. An evidence of local collection in group A, Wound infection occurred in 2 patients of group A and in 1 patient of group B. Hospital stay, group A with drain (3.5 days) was longer duration than that of group B without drain (2 days). Patient’s satisfaction was better in group B than Group A on 1st follow up. Differences were considered significant when P <0.05. There was evidence of a biliary peritonitis in a drainage tube placed patient. There was no mortality in any groups. In conclusion we found no significant advantage of using drain after laparoscopic cholecystectomy. Keywords: Cholelithiasis, Laparoscopic cholecystectomy, Drain, Hospital stay
Authors and Affiliations
Dr. Santosh Unawane, Dr. Niranjan Dash, Dr. Jayant Gadekar
Keywords
Related Articles
- EP ID EP372925
- DOI -
- Views 57
- Downloads 0
A Study on Knowledge, Attitude and Practice (KAP) of Universal Precautions in The Nursing Staff of Tertiary care Hospital
Healthcare Associated Infection (HCAI) is the major cause of morbidity and mortality in hospital based settings; with nosocomial infections and their control creating a world-wide challenge. This also adds to the burden...
Left Upper Femur Fibrous Dysplasia
Abstract: A 17 years old male patient came to Alzaytouna Specialist Hospital (Sudan) with vague complaints of left upper femur pain for ~2 years, difficulty with daily living activities. The doctor requested x-ray, CT,...
Antibiotic Susceptibility Pattern of Pyogenic Infectious Diseases in a Teaching Hospital of Tripura
India has one of the highest burdens of bacterial diseases in the world and thus, antibiotics have a significant role in reducing mortality and morbidity in the country. Area specific studies are required in monitoring t...
A Prospective Study of Gall Bladder Diseases
Abstract: Aim of this study was to study the epidemiology of gall bladder diseases in the patients presenting in surgery department. Gall bladder diseases, through as old as history of medicine, still remains the world w...
Correlation between Dipstick Urinalysis and Urinary Sediment Microscopy in Detecting Haematuria in Children with Sickle Cell Anaemia in a Tertiary Hospital
Haematuria is a known symptom of sickle cell anaemia (SCA) and most renal diseases including sickle cell nephropathy. Dipstick urinalysis can detect haematuria buturine sediment microscopy confirms haematuria. The object...