Comparative Study between Drain versus No Drain in Elective Cholecystectomy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: The drainage in cholecystectomy is a matter of considerable debate. Therapeutic drains are necessity for sub hepatic abscess, but prophylactic drains are in question as it increases risk of infection and hospital stay. The study was designed to compare post-operative abdominal complication associated with elective cholecystectomy with drain vs without drain placement. This was a prospective study of 200 patients admitted for elective Cholecystectomy laparoscopic and open both in the Department of Surgery, J.A. Group of Hospitals and G.R. Medical College, Gwalior (MP) during 2015-2016. Each case was then analyzed with respect to post-operative parameters like pain, subhepatic collection, wound infection, hospital stay. Patients in “without drain” group have lesser post-operative pain; lesser sub hepatic collection and shorter hospital stay and less wound infection in elective Cholecystectomy compare to “with drain” group. Hence it is concluded that, in patients undergoing elective cholecystectomy, keeping drain can be avoided as it does not provide any additional benefit.
Authors and Affiliations
Dr Prashant Raj Pipariya, Dr Rakesh Darbar, Dr Achal Gupta
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