Abdominal Drainage versus Non Drainage for Uncomplicated Laparoscopic Cholecystectomy Operations in Assiut University Hospital
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- Category: Vol. 86, September 2018
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Abdominal Drainage versus Non Drainage for Uncomplicated Laparoscopic Cholecystectomy Operations in Assiut University Hospital, HESHAM RIAD, SAMER A. AMMAR and MOHAMED Sh. ISMEAL
Abstract
Background: The traditional method of routine abdominal drainage after uncomplicated laparoscopic cholesyectomy can increase wound infection rate and hospital stay.
Patients and Methods: In our study we had 40 patients with chronic calcular cholecystitis. They were randomly assigned into one of the two study groups: Group I: With drains age; Group II: Without drains age. The result calculated was to compare between the two groups mainly the time of hospital stay, early recovery and surgical complications.
Results: The mean operative time for the drain age group is (61.8±11.8) per min and (53.0±11.8) for the non drain age group. The mean hospital stay for the drain age group is 30.4±4.3 (hours) and 18.8±3.8 (hours) for the non drain age group. The mean pain scores for the drain group is 5.8±2.1 and 3.9±1.6 for the non drain age group post-operative complications which are wound infection, fever, bile leakage occur with high rate among the drain age group, however there are no statistically significant differences between the 2 studied groups. Post-operative prolonged shoulder pain occur in one case in the non drain group.
Conclusion:
•Use of drain age in uncomplicated lap cholecystectomy didn't result in reduction of post-operative complications.
•It was also associated with prolonged operative time, higher pain score and longer hospital stay.