Comparison of Morbidity After Laparoscopic Cholecystectomy for Acutely Inflamed Gall Bladder With and Without Drain
Comparison of Morbidity After Laparoscopic Cholecystectomy for Acutely Inflamed Gall Bladder With and Without Drain
The purpose of this study was to compare the frequency of pain and mean hospital stay in
 patients with and without drain insertion, following laparoscopic cholecystectomy for acutely
 inflamed gallbladder.
Most hospitals in Pakistan still do not have a policy of early laparoscopic cholecystectomy
 in acutely inflamed gallbladder, partly because of feared higher conversion rates to open
 procedure and presumed increased risk of complications. There are fewer local studies to
 elaborate the role of drain after laparoscopic cholecystectomy for acutely inflamed
 gallbladder. This study was conducted to analyze the role of routine use of drains after
 laparoscopic cholecystectomy for acutely inflamed gallbladder. Does it offer any advantage in
 detecting bile leak or bleeding. Also to prove that placing drains prolongs the hospital stay
 and increases postoperative pain in comparison to patients in whom drain is not placed.

 After being informed about the study and the potential risks, all patients giving written
 informed consent, underwent laparoscopic cholecystectomy using conventional 4 port method.
 Patients were divided in two groups by lottery method. Group A - no drain group and Group B -
 drain group. Post operatively parameters of pain and total hospital stay were assessed and
 analysed.
Inclusion Criteria:

 -  All the patients of either sex with ages between 20 - 80 years, diagnosed with acutely
 inflamed gallbladder, undergoing laparoscopic cholecystectomy were included in the
 study

 Exclusion Criteria:

 -  All patients having concurrent operations on other organs, or with history of previous
 upper abdominal surgery, or with immunodeficiency states because of liver or renal
 transplantation or already diagnosed with HIV infection, or surgeries requiring open
 conversions, or surgeries in which there was hollow visceral organ injury, or patient
 requiring common bile duct (CBD) exploration or patients having any bleeding disorder,
 or surgeries where there is doubt of cystic duct stump or CBD injury, were excluded
 from the study