ABSTRACT
Objectives: To assess the benefits and harms of routine abdominal drainage after Laparoscopic Cholecystectomy
Study design: A prospective observational study
Place and duration: Department of surgery at Khyber Teaching Hospital, Peshawar from 1[st] Feb. 2009 to 30[th] April 2012
Methodology: The data of 300 patients who underwent laparoscopic cholecystectomy was analyzed. The patients were divided in two groups each of 150 patients. Group -A, included patients without drain and Group -B, included patients with drain. Operative and Post operative results of both groups were compared with regard to signs, symptoms, early and late complications and hospital stay using univariate analysis
Results: Among total of 300 patients the male; female ratio was 1:3.The post op nausea [32%, n=48] and vomiting [18.6%, n=28] was less in patients without drain [group A]. Whereas abdominal pain [22.6%, n=34] and shoulder tip pain [15.3% n=23] was less in patients with drainage tube [group B]. Port site wound infection [11.3%, n=17] was more in group B. The hospital stay was less in the non drain group
Conclusion: Prophylactic drainage after a borderline case of laparoscopic cholecystectomy has found to be of no benefit rather it increases hospital stay and renders the patient prone to infections but it still remains a matter of individual preference