EFFECTIVENESS OF THE USE OF DRAINS IN POST LAPAROSCOPIC CHOLECYSTECTOMIES
Keywords:
Cholelithiasis, Drainage, Laparoscopic CholecystectomyAbstract
Objective: To determine the efficacy of the drain in reducing post -operative sub hepatic collection of bile or blood in routine laparoscopic cholecystectomy.
Material and Methods: This study was conducted in Surgical Department of Khyber Teaching Hospital, Peshawar from November 2013 to May 2014. A total of 150 patients were included using the Consecutive (Non-Probability) Sampling method. All patients both male and female with diagnosed and symptomatic Gallstones were subjected to Laparoscopic cholecystectomy, drain was placed and patients were followed up to 2 weeks.
Results: Gallstones are more common in females (65% vs 35%). It is also more common in the 40s age group. Drainage was found to be ineffective in (138/150) 92% of the patients. The visual analog scale (VAS) on 1st post op day was 3-9 (mean=6), length of hospital stay was 3-5 days (mean=4 days), total drainage volume was 30-150ml (mean= 90ml). 10/150(6.6%) developed wound site infection.
Conclusion: Routine use of drains is not recommended since they do not offer any benefit over non drainage. Proper guidelines are needed for drain insertion when they are inevitable.
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