Drainage after Cholecystectomy is Unnecessary
نویسنده
چکیده
Objective: To determine necessity of use of drainage after cholecystectomy. Methods: The study included 70 patients under going cholecystectomy with and without drainage. Incidence of complications, sub-hepatic collection and time spent in hospital were noted in the two groups. Age and gender distribution, indications of surgery and operative procedures were similar in both groups. Results: No significance differences were observed in post-operative morbidity and mortality rates in two groups. There was more post-operative pain, fever and delayed hospital stay in Drain group. Conclusion: Drainage in cholecystectomy is unnecessary and associated with more complications than those without drain. (Rawal Med J 2009;34:105-107).
منابع مشابه
The Need of Drainage After Cholecystectomy
In an attempt to rationalize the use of intraperitoneal drainage of the subhepatic space after simple, elective cholecystectomy, a prospective study was designed to compare the post-operative course with and without drainage. There was a higher incidence of postoperative fever of unknown origin and wound infection in the drained group. In the group without drainage the hospital postoperative st...
متن کاملA rare case of hepatic subcapsular biloma after laparoscopic Cholecystectomy and subsequent endoscopic retrograde cholangiopancreatography
Background: Biloma is a rare abnormal localized accumulation of bile out of biliary tree due to an injury that occurs usually postoperatively from an injured cystic or bile duct. While most bilomas collect in the subhepatic space, we describe a rare case of hepatic subcapsular biloma after laparoscopic cholecystectomy and ERCP which was done one week after surgery successfully treated by p...
متن کاملLaparoscopic Management of Chronic Abscess Due to Spilled Gallstones
INTRODUCTION Bile and gallstones are spilled during 13% to 40% of all laparoscopic cholecystectomies. They can act as a septic focus and cause complications. We present 2 cases of perihepatic abscess formation due to dropped gallstones presenting some years later. Delayed diagnosis resulted in unnecessary investigations and had negative economic consequences. CASE DESCRIPTION In 1 patient a p...
متن کاملOptimal timing of cholecystectomy after percutaneous gallbladder drainage for severe cholecystitis
BACKGROUND The Tokyo guideline for acute cholecystitis recommended percutaneous transhepatic gallbladder drainage followed by cholecystectomy for severe acute cholecystitis, but the optimal timing for the subsequent cholecystectomy remains controversial. METHODS Sixty-seven patients who underwent either laparoscopic or open cholecystectomy after percutaneous transhepatic gallbladder drainage ...
متن کاملOpen cholecystectomy without intraperitoneal drainage.
BACKGROUND Cholecystectomy through laparotomy with or without intra-peritoneal drain has been the standard operation for the gall bladder disease for the last 100 years. It implies removal of gall bladder and is performed mainly for symptomatic gall stones. The Objectives was to analyse the outcome of open cholecystectomy without drain in term of complications. METHODS Patients who underwent ...
متن کامل