Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subhepatic sonography following cholecystectomy

K K Shirazi, K I Maull

    Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
    |September 1, 1982
    PubMed
    Summary

    Routine subhepatic drains after cholecystectomy are often unnecessary. A study found that omitting drains in patients undergoing gallbladder removal did not lead to significant fluid accumulation, ensuring patient safety.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Ascorbic acid dynamics in the seriously ill and injured.

    The Journal of surgical research·2003
    Same author

    Breast trauma following motor vehicle collisions: damage patterns, restraint use and underlying torso injuries.

    Annual proceedings. Association for the Advancement of Automotive Medicine·2002
    Same author

    Current status of nonoperative management of liver injuries.

    World journal of surgery·2002
    Same author

    Penetrating colon injuries requiring resection: diversion or primary anastomosis? An AAST prospective multicenter study.

    The Journal of trauma·2001
    Same author

    Trauma in the cirrhotic patient.

    Southern medical journal·2001
    Same author

    Maternal-fetal trauma.

    Seminars in pediatric surgery·2001

    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Medical Imaging

    Background:

    • Subhepatic drains are commonly placed after cholecystectomy.
    • Concerns exist regarding subhepatic fluid accumulation and its clinical significance.
    • Evidence suggests omitting drains may be safe.

    Purpose of the Study:

    • To evaluate the necessity of prophylactic subhepatic drains post-cholecystectomy.
    • To assess the incidence and significance of subhepatic fluid accumulation without drains.
    • To compare outcomes between drained and non-drained patients.

    Main Methods:

    • Prospective comparative study involving 76 randomized patients.
    • Patients were divided into two groups: those with drains and those without.
    • Postoperative ultrasonography was used to monitor fluid accumulation.

    Main Results:

    • The majority of patients in both groups showed no localized fluid collections post-surgery.
    • Small fluid collections in the gallbladder bed were observed in a few patients initially.
    • These fluid collections were clinically insignificant and either resolved or remained stable over time.

    Conclusions:

    • Prophylactic subhepatic drains are not routinely required after cholecystectomy.
    • Omitting drains is a safe practice, with minimal and insignificant fluid accumulation observed.
    • Ultrasonography can effectively monitor postoperative fluid dynamics.

    Related Experiment Videos