Comparison of Laparoscopic Cholecystectomy with Drain versus No Drain – A Retrospective Study

  • Sanjay S Namadar Mata Gujri University, Mata Gujri Memorial Medical College, Kishanganj, Bihar, India
  • Jayaprabhu Uttur Sri Nijalingappa Medical College, Bagalkot, Karnataka, India
Keywords: Cholelithiasis, Four post method, Laparoscopic cholecystectomy, Romo Vac suction drain

Abstract

Background: Cholecystectomy is the second most common operation in gastrointestinal surgery after appendectomy in India because gallstones are most common and costly digestive disease and are major cause of hospitalization; laparoscopic cholecystectomy (LC) is accepted universally for the treatment of cholelithiasis. However, drain versus no drain is remained on controversial issue.
Materials and Methods: Out of 60, (30) were selected drain (Group A) and 30 for no drain (Group B). Romo Vac suction drain was inserted in LC in sub-hepatic in Group A. Same antibiotics were given to both groups postoperatively. Every patient has undergone LC by standard four fort method. The post-surgical complications were noted and compared.
Results: The post-surgical complications such as infections of wound, post-surgical pain, block, age, duration of hospital stay, post-LC morbidity, and chest infections were significantly higher in drain patients as compare to no drain patients.
Conclusion: It is observed that use of drain in the elective LC did not provide any benefit to patients rather it increased wound infection and increased duration of hospital stay. Hence, the use of drain is not recommended as routine practice after LC.

Author Biographies

Sanjay S Namadar, Mata Gujri University, Mata Gujri Memorial Medical College, Kishanganj, Bihar, India

Associate Professor, Department of Surgery

Jayaprabhu Uttur, Sri Nijalingappa Medical College, Bagalkot, Karnataka, India

Assistant Professor, Department of Surgery, 

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Published
2021-07-01
Section
Articles