42772

Laparoscopic cholecystectomy: To drain or not to drain

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Saleh, El-Sayed A. , Safwat, Yahya M.

Authors

Selim, Sherif Raafat

Accessioned

2017-07-12 06:41:28

Available

2017-07-12 06:41:28

type

M.Sc. Thesis

Abstract

This study included 30 patients with symptomatic chronic calcular cholecystitis who underwent uneventful laparoscopic cholecystectomy. They were divided into two groups: group A with drain (15 patients) and group B without drain (15 patients). All patients were assessed through a thorough history taking and physical examination, in addition to complete laboratory work-up. Abdominal U/S was done to all patients prior to admission. Follow up of the patients was done by performing abdominal U/S and plain X-ray erect abdomen 24h. postoperative to detect any fluid collection or subphrenic air. Postoperative complications occurred only in one patient, in the form of postoperative bleeding. The patient was in group A. she was re-explored and the sparter was diathermized and she was discharged 8 days postoperative. This study proved that there was no difference between group A (with drain) and group B (without drain) regarding postoperative abdominal pain or shoulder pain. Also, there was no difference regarding postoperative wound infection, fever, tachycardia or return to home. However, with significant intraoperative blood loss and with use of irrigation, it is recommended to place a drain for one day to guard against possible collections. Also, during the initial experience it is better to place a drain as a safe measure and it also may act as a therapeutic measure for many cases with bile leak with no need for further intervention.

Issued

1 Jan 2003

DOI

http://dx.doi.org/10.21473/iknito-space/36709

Details

Type

Thesis

Created At

28 Jan 2023