Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Cholelithiasis is the most common biliary pathology worldwide but out of these Only 1-2% asymptomatic patients will develop symptoms requiring surgical intervention; yet cholecystectomy is one of the most common operations performed by General Surgeons. The belief that surgical drainages serve as an early warning of bile leakage, impending bile peritonitis or intra-abdominal haemorrhage is nowadays in dispute. Thus, the lack of bile from a drain cannot be interpreted as indicating the absence of bile leakage or the absence of impending bile peritonitis. The present prospective study entitled ‘’To study the post operative abdominal complications in cholecystectomy patients’’ is to be conducted on 200 patients admitted for elective Cholecystectomy in the department of surgery, J.A. Group of hospitals and G.R. Medical College, Gwalior (MP) during 2015-2016. 200 patients who diagnosed as a case of cholelithiasis, admitted and giving consent for Cholecystectomy will be included in the study. Gallstone with any other associated intraoperative finding like ascites, tuberculosis, suspected mass, Gall bladder carcinoma with gall stones, Cholelithiasis with intraoperative suspicion of choledocholithiasis, Incidental cholecystectomies with other procedures these are excluded. most common post-operative complications are wound infection, pain, biliary peritonitis, subhepatic collection and abscess. Patients in drain group had more pain compared to without drain group. Patients had more pain after open cholecystectomy (OC) as compare to laparoscopic Cholecystectomy. Wound infection was noted in 14(7%) patients in the drain group and 2(1%) patients without drain group in elective cholecystectomy. Wound infection was noted in15(15.78%) in open cholecystectomy (OC) and 1 (0.95%) in laparoscopic cholecystectomy. Mean subhepatic collection noted in patients with drain on1st day was 26.3±12.7 mL and on 3rd day was 37.85±12.65 ml and on 7th day was 22.83±9.88 mL. Mean subhepatic collection in patients without drain on 1st day was 20±7.84 mL and on 3rd day was 24±9.34 mL and on 7th day 15.35±7.48 mL. None of the patients required any intervention and were managed conservatively. Mean hospital stay in patients with drain was 8.38±1.86 days and patients without drain was 4.68±1.25 days. Majority of patients with drain group stayed longer time period compared to drain group. Hospital stays also increase after open cholecystectomy (OC) as compare to laparoscopic cholecystectomy. most common post-operative complications are wound infection, pain, biliary peritonitis, subhepatic collection and abscess. Patients in “without drain” group have noted lesser post operative pain, lesser subhepatic collection and shorter hospital stay and less wound infection in elective Cholecystectomy compare to “with drain” group. There is more wound infection noted in open cholecystectomy (OC) as compare to laparoscopic Cholecystectomy. There is no significant difference as far as post operative wound infection in elective laparoscopic Cholecystectomy with drain or without drain. Therefore, in patients undergoing elective Laparoscopic cholecystectomy keeping drain can be avoided as it does not provide any additional benefit.
How to cite this article:
Rakesh Darbar, Vikram Singh Mujalde, Ravi Pratap Singh and Ashok Kumar Rathore. Study the Post Operative Abdominal Complications in Cholecystectomy Patients.
DOI: https://doi.org/10.36478/10.59218\makrjms.2023.498.502
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218\makrjms.2023.498.502