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19790

Use of Drain in Laparoscopic Cholecystectomy

Article

Last updated: 24 Dec 2024

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Abstract

Background: laparoscopic cholecystectomy has become the procedure of choice for treatment of patients with gall stones. The routine placement of drains becomes a part of this operation for a long period of time. However, controversy has surrounded this practice in elective conventional cholecystectomies, with most surgeons departing from this approach. Aim of the Work: this study aimed to assess the value of the drain in uncomplicated laparoscopic cholecystectomy and if the insertion of a drain should be routinely done or not. Patients and Methods: this study was conducted at AL-Azhar University Hospitals in Cairo (Al Hussien and Bab Al Shaaria Hospitals), Kafr Al-Sheikh General Hospital and Biala Central Hospital on 180 patiants presented to general surgery clinic with gall stone disease. Patients were randomized into two groups and both groups underwent laparoscopic cholecystectomy, group A (90 patients) received a drain in gall bladder bed and group B (90 patients) receivd no drain. Postoperative mortalities and morbidities shuch as pain, nausea, vomiting, fever, abdominal collection, wound infection, need for analgesics and time of discharge from hospital were assessed. Statistical analysis was performed. Mean and standard deviation were estimated for each continuous variable. Results: there was no mortality in either groups and no statistically significant difference in postoperative pain, nausea, vomiting, wound infection or abdominal collection between the two groups. However, hospital stay was longer in the drain group than in group without drain. Conclusion: our study suggested that insertion of drain should not be routinely done in elective laproscopic cholecystectomy as it has no significant effect on postoperative morbidity, moreover, it delays hospital discharge.

DOI

10.21608/ejhm.2018.19790

Keywords

Drain, Laparoscopic cholecystectomy

Authors

First Name

Ayman Helmy

Last Name

Ibrahim

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine, Al Azhar University

Email

dr.aymanhelmy10@gmail.com

City

-

Orcid

0000-0001-6864-9082

First Name

Abdel Wahab M.

Last Name

Abdel Wahab

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al Azhar University

Email

-

City

-

Orcid

-

First Name

Karim A. Abdel Rahman

Last Name

Ali

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al Azhar University

Email

-

City

-

Orcid

-

Volume

73

Article Issue

9

Related Issue

3870

Issue Date

2018-10-01

Receive Date

2018-11-25

Publish Date

2018-10-01

Page Start

7,615

Page End

7,621

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_19790.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=19790

Order

30

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Use of Drain in Laparoscopic Cholecystectomy

Details

Type

Article

Created At

22 Jan 2023