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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Advantages and disadvantages of drain in laparoscopic cholecystectomy- A comparative study
Dr. Simran, Dr. Neelesh Bansal, Dr. Savika Bansal

Background: Laparoscopic cholecystectomy is an increasingly accepted technique worldwide for the treatment of cholelithiasis. This technique has the advantages of a shorter hospital stay, early ambulation, better cosmetic results, and less postoperative pain and complications than other techniques. Aim & Objective: To study the efficacy of drain insertion after laparoscopic cholecystectomy. Objective of the study is to assess the type and amount of drainage in the postoperative period and to analyse the pain score in post-operative patients with drain with the help of VAS (Visual Analogue) score. Material & methods: This prospective randomized controlled study was done in Department of General Surgery, Adesh Institute of Medical Sciences & Research, Bathinda. 60 patients undergoing laparoscopic cholecystectomy with 30 patients in either group after having applied the inclusion and exclusion criteria were included in the study. Results: Outcomes were assessed based on - Post-operative amount and type of collection/drainage, Post-operative drain site pain. In this study 3.83±0.83 and 2.77±0.77 days of hospital stay and patient was able to ambulate at 7.6±1.35 and 7.27±1.17 hours in group A and group B respectively, which shows patients with no drainage were able to discharge early than the patient who have inserted drainage. Conclusion: In conclusion, the routine use of drains in laparoscopic cholecystectomy depends on surgeon s experience and condition of the patient. Overall, uncomplicated gallstone disease can be safely treated without the use of a drain in experienced hands, resulting in benefits such as reduced post-operative pain and hospital stay.

 
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