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Volume 7 Issue 1 (January, 2019)

Original Articles

To compare the differences between laparoscopic cholecystectomies performed with and without drains
Pradeep Kumar Bansal

Aim: The purpose of this research is to examine the differences between laparoscopic cholecystectomies performed with and without drains. Methods: It was the responsibility of the Department of General Surgery to conduct out this randomized controlled trial single-blind examination. In all, there were one hundred distinct patients included in this study. Patients were divided into two groups: group A were those who were given drains, and group B were those who were not. After the completion of a comprehensive history, physical examination, and investigations that were applicable to the case, the post-operative period as well as any difficulties that arose were assessed. Patients were assigned to different groups by a process that is known as simple random sampling. Results: Forty percent of patients with cholelithiasis had drains, whereas the other forty percent did not. 28% of patients with acute cholecystitis and 12% of patients with chronic cholecystitis had drains, whereas 32% of patients with chronic cholecystitis had drains and 48% of patients without drains. G4 was the most common VAS grade among patients with drain, followed by G3 (44%) and G2 (6%). G2 was the most common VAS grade among individuals who did not have a drain (50%), followed by G3 (28%), and G1 (16%). (Table 4). There was a statistically significant difference noticed between the two groups, and the significance level was P<0.05. Infection of the wound was seen in 5 (10%) of patients with drains and only 1 (2%) of patients without drains (Table 5); the p value for this comparison was thus 0.007. Hence, a statistically significant difference was found to exist between the two groups that were investigated. Conclusions: An competent surgeon may do a laparoscopic cholecystectomy to treat gallstone disease in an uncomplicated patient without the necessity for draining the patient's abdominal cavity in a manner that is reasonably safe. There is a substantial benefit in terms of post-operative discomfort, the use of analgesics, and the length of time spent in the hospital since the drain is not used.

 
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