A Clinical study to compare drain vs no drain in elective laparoscopic cholecystectomy

Dr. Kuldeep Singh; Dr. Mohsin Khan; Dr.Ajay Gangji; Dr.Anurag Chauhan

Volume : VI, Issue : VI, June - 2017

A Clinical study to compare drain vs no drain in elective laparoscopic cholecystectomy

Dr. Kuldeep Singh, Dr. Mohsin Khan, Dr. Ajay Gangji, Dr. Anurag Chauhan

Abstract :

OBJECTIVE: Laparoscopic cholecystectomy is the main method of treatment of gallstones. Routine drainage after laparoscopic cholecystectomy is an issue of considerable debate. Therefore, a controlled randomised trial was designed to assess the value of drains in elective laparoscopic cholecystectomy. MATERIALS AND METHODS: During the period of one year 100 patients with symptomatic or asymptomatic cholelithiasis diagnosed clinically and by ultrasound were subjected to laparoscopic cholecystectomy making two groups A and B ,with drain and without drain respectively. The volume of the fluid collection detected in the sub hepatic area by ultrasonography in the postoperative days was recorded along with postoperative pain, wound infection, and duration of hospital stay . RESULTS: Patients in drain group had more pain compared to without drain group. VAS median grade in without drain group was G2(54%) and VAS median grade in patients with drain group was G3(62%).Wound infection was noted in 4(04%) patients in the drain group and 2(02%) patients without drain group. Mean sub hepatic collection noted in patients with drain on 3rd day was 36.6+/–15.3 ml and on 7th day was 22.6+/–11.3ml. Mean sub hepatic collection in patients without drain on 3rd day was 25+/–9.5 ml and 7th day 12.16+/–8.7 ml. None of the patients required any intervention and were managed conservatively. Majority of patients in drain group had more suhepatic collection when compared to without drain group. Mean hospital stay in patients with drain was 7.4 +/– 1.2 days and patients without drain were 5.1+/– 1.6 days. Majority of patients with drain group stayed longer time period compared to drain group CONCLUSION: In conclusion, there is no relationship between the presence of a drain after laparoscopic cholecystectomy and the presence of postoperative fluid collection. The routine use of a drain in non–complicated laparoscopic cholecystectomy has nothing to offer; in contrast, it is associated with longer hospital stay.