We found no significant differences between different types of drains .
Drains increase the harms to the patient without providing any additional benefit for patients undergoing open cholecystectomy and should be avoided in open cholecystectomy
BACKGROUND Cholecystectomy is the removal of gallbladder and is performed mainly for symptomatic gallstones .
Although laparoscopic cholecystectomy is currently preferred over open cholecystectomy for elective cholecystectomy , reports of r and omised clinical trials comparing the choice of cholecystectomy ( open or laparoscopic ) in acute cholecystitis are still being conducted .
Drainage in open cholecystectomy is a matter of considerable debate .
Surgeons use drains primarily to prevent subhepatic abscess or bile peritonitis from an undrained bile leak .
Critics of drain condemn drain use as it increases wound and chest infection .
OBJECTIVES To assess the benefits and harms of routine abdominal drainage in uncomplicated open cholecystectomy .
Drainage after cholecystectomy. A prospective randomized clinical trial.
This prospect i ve clinical study was done to assess the efficacy of postcholecystectomy drainage . A total of 173 cholecystectomized patients were r and omized into two groups ; group A ( 86 patients ) without drainage and group B ( 87 patients ) with drainage . Group B included two types of patients ; B1 ( 52 patients ) with suction drain and B2 ( 35 patients ) with gravity drain .  Evidence of wound infection , chest complications , and duration of hospital stay were recorded in every case . Ninety five patients were assessed for chest complications and subhepatic collection by chest x-ray and abdominal ultrasonography . In group B patients the total amount of fluid drained was measured . The results were analysed by appropriate statistical methods . There was no significant difference in the rate of wound infection or atelectasis in either group , although there was apparent increase of lung complications and subhepatic collection s in Group B1 . The average postoperative hospital stay was significantly increased in group B patients . Considering all the parameters of this study , it was found that drainage with gravity was attended with the least morbidity
We found no significant differences between different types of drains .
Drains increase the harms to the patient without providing any additional benefit for patients undergoing open cholecystectomy and should be avoided in open cholecystectomy
BACKGROUND Cholecystectomy is the removal of gallbladder and is performed mainly for symptomatic gallstones .
Although laparoscopic cholecystectomy is currently preferred over open cholecystectomy for elective cholecystectomy , reports of r and omised clinical trials comparing the choice of cholecystectomy ( open or laparoscopic ) in acute cholecystitis are still being conducted .
Drainage in open cholecystectomy is a matter of considerable debate .
Surgeons use drains primarily to prevent subhepatic abscess or bile peritonitis from an undrained bile leak .
Critics of drain condemn drain use as it increases wound and chest infection .
OBJECTIVES To assess the benefits and harms of routine abdominal drainage in uncomplicated open cholecystectomy .