A comparative study of Laparoscopic Cholecystectomy with and without abdominal drain with respect to duration of hospital stay

Dr. Ashok Rai; Dr. Utkarsh Sharma

Volume : X, Issue : VI, June - 2020

A comparative study of Laparoscopic Cholecystectomy with and without abdominal drain with respect to duration of hospital stay

Dr. Ashok Rai, Dr. Utkarsh Sharma

Abstract :

Background: Laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstones. It is advantageous when compared with open surgery as it has faster post–operative recovery and lower pain scores. Routine use of drain after Laparoscopic cholecystectomy is a debatable issue. Methods: The study was done in General Surgery department, Jawaharlal Nehru Medical College, Bhagalpur from January 2020 to 15 March 2020. Study was randomized, prospective and observational including 46 patients, selected according to inclusion criteria. Results: Incidence: Post–operative drain site pain was present in 30% of patients with drain (more at drain site). Incidence: Post–operative rise in temperature was present in 26% of patients in drain group. 44% of the patients with drain group (n=23) required hospital stay for _>2days, while majority of the patients (96%) without drain group (n=23), required hospital stay for 1 day. Conclusions: A simple (uncomplicated) gall stone disease can be treated by laparoscopic cholecystectomy without need for drain with reasonable safety by an experienced surgeon. With no usage of drain, it is significantly advantageous in terms of post–operative pain and hospital stay.