Comparison of the Morbidity after Laparoscopic Cholecystectomy for Acutely Inflamed Gall Bladder with and without Drain Insertion: A Randomized Controlled Trial

  • Hira Saleem
  • Aniqua Saleem Rawalpindi Medical University
  • Ghulam Siddiq
  • Sharjeel Sarfraz Ahmed Sheikh
  • Huzaifa Saleem
Keywords: Pain, Hospital Stay, Drain Insertion, Laparoscopic Cholecystectomy, Acutely Inflamed Gallbladder

Abstract

Abstract

Objective: The study objective is to compare the pain frequency and mean hospital stay in patients with and without drain insertion, following laparoscopic cholecystectomy for acutely inflamed gallbladder.

Methods: Randomized control trial was carried out in General Surgery Department Shifa International Hospital for a period of 1 year from October 2017 to October 2018. All patients with acutely inflamed gallbladder admitted underwent laparoscopic cholecystectomy using conventional 4 port method. Applying Lottery method patients were sorted into two groups; (Group A) – without drain and (Group B) – with drain. Post operatively parameters of pain and total hospital stay were assessed. Data was entered into a standard SPSS sheet version 15.0.

Results: Mean age of patients in without drain (group A) was 52.00±14.84 years and in with drain (group B) was 47.50±18.28 years. In without drain (group A), there were 9 (30.0%) males and 21 (70.0%) females, mean VAS was 2.37±1.22, 16.7% (5 of 60 patients) had pain, and mean hospital stay was 1.93+/-0.79 days. In with drain (group B), 13 (43.3%) were males and 17 (56.7%) were females, mean VAS was 3.2 +/-1.36, 36.7% (11 of 60 patients) had pain and mean hospital stay was 3.17+/- 0.87 days. The difference between the two groups for mean VAS was significant (P<0.05), for mean hospital stay was significant (P<0.05) but for pain frequency was insignificant (P>0.05).

Conclusions: It has been concluded that without drain, more appropriate results have been obtained as compared to drain.

Clinical Trial Number: NCT04346550

References

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Published
2021-06-30
How to Cite
1.
Saleem H, Saleem A, Siddiq G, Sheikh S, Saleem H. Comparison of the Morbidity after Laparoscopic Cholecystectomy for Acutely Inflamed Gall Bladder with and without Drain Insertion: A Randomized Controlled Trial. JRMC [Internet]. 30Jun.2021 [cited 7Dec.2021];25(2):239-45. Available from: http://journalrmc.com/index.php/JRMC/article/view/1587
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