Volume : V, Issue : III, March - 2016

Comparing T–tube drainage and primary closure of common bile duct following its exploration.

Dr. Surendra Pathak, Dr. Vijay Anand, Dr. Juhi Singhal, Dr. Nrapendra Sharma

Abstract :

 Background – There is a controversy amongst surgeons all over the world regarding the technique of CBD exploration i.e. whether primary closure of CBD is to be done or T–tube drainage is to be done. The purpose of this study is to direct attention towards investigative and clinical observations which have demonstrated the feasibility and distinct advantage of omitting drainage of CBD following choledochotomy Methods – A prospective study was done on patients undergoing CBD exploration between nov 2011 to oct 2013.intraoperative findings and postoperative parameters were observed. Results – During this study 60 patients underwent CBD exploration . The patients were randomly selected in the operation theatre for primary closure of common bile duct( Group A) and T–tube drainage (Group B). ). T–tube drainage was done in 30 patients and primary closure was performed in 30 patients. There were nine cases with T–tube in which bile culture was positive and three cases of primary closure in whom the drain fluid culture was positive. In our series, the mean number of days for which pulse was greater than 100/min and temperature was greater than 100 degree F, was 3.7 days and 2.1 days respectively in CBD drainage cases and 1.9 and 0.7 days respectively in primary closure cases.(p<0.05) The average duration of hospital stay was 8.2 days for those undergoing primary suture of the CBD. In those undergoing T–tube drainage the average hospital stay was 15.7 days Conclusions– primary closure of the common bile duct, following its exploration, is a safe alternative as compare to T–tube placement

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Surendra Pathak, Dr. Vijay Anand, Dr. Juhi Singhal, Dr. Nrapendra Sharma Comparing T–tube drainage and primary closure of common bile duct following its exploration. International Journal of Scientific Research, Vol : 5, Issue : 3 March 2016

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