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Related Experiment Videos

Cholecystectomy with and without drainage: a prospective randomised study

A M Saad1, A M el Hassan

  • 1Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.

East African Medical Journal
|August 1, 1993
PubMed
Summary

Subhepatic drains offer no benefit and may increase risks like fever and wound infection following elective cholecystectomy. This study suggests avoiding their routine use in these procedures.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Clinical Trials

Background:

  • Elective cholecystectomy is a common procedure for symptomatic gallstones.
  • The routine use of subhepatic intraperitoneal drains is debated.
  • Assessing drain efficacy and safety is crucial for patient outcomes.

Purpose of the Study:

  • To prospectively evaluate the efficacy and safety of subhepatic intraperitoneal drains.
  • To compare post-operative outcomes between patients with and without drains after cholecystectomy.
  • To determine if drains reduce complications or improve recovery.

Main Methods:

  • A randomized controlled trial involving 100 patients undergoing elective cholecystectomy.
  • Patients were allocated to either receive subhepatic drains (Group A) or no drains (Group B).

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  • Post-operative monitoring included fever, wound infection, septicaemia, bile leakage, and hospital stay.

    • Main Results:

    • Group A (drains) showed significantly higher rates of fever (28% vs 10%) and wound infection (P < 0.05).
    • Septicaemia occurred in 2 patients in Group A, with none in Group B.
    • No significant difference in intraperitoneal bile leakage or post-operative hospital stay was observed.

    Conclusions:

    • Subhepatic intraperitoneal drains provide no advantage in elective cholecystectomy.
    • The use of drains in this context appears to be associated with increased post-operative complications.
    • Findings suggest that routine drain use should be reconsidered for elective cholecystectomy.