Study of utility of sub-hepatic drain in laproscopic Cholecystectomy: A Randomized Control Trial
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 2
Abstract
Abstract: Laparoscopic Cholecystectomy has proved to be a boon for thousands of cholelithiasis patients. One of the most common surgery performed, it proves to be comfortable and safe. The use of subhepatic drain has been a matter of debate since its advent. This randomized control study was done to study the utility of sub-hepatic drain in laparoscopic Cholecystectomy. A total of 50 patients were enrolled for the study, 25 underwent drain placement while in 25 patients, a placebo drain was entwined in the dressing. Operative parameters and outcomes were compared. There was no significant difference in post-operative fluid collection in peritoneal cavity assessed by USG at 24 hours. The group without drain has significantly less post-operative pain and thus decreased demand of analgesics. Also the hospital stay was less in the group without drain, the difference being statistically significant. So, the present study shows that the sub-hepatic drain can be safely omitted in an uncomplicated laparoscopic Cholecystectomy and will result in better patient comfort with earlier discharge.
Authors and Affiliations
Dheeraj Kumar, Satyendra Pal Singh, Shashank Singhal, Irfan Hussain Khan
Keywords
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