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 .
Intraperitoneal drains and nasogastric tubes in elective cholecystectomy.
Abstract The effects of intraperitoneal drains and nasogastric tubes were studied in 100 consecutive patients undergoing elective cholecystectomy without exploration of the common duct . The study was performed as a r and omized trial . Concurrent assessment of the effect of both the drain and the gastric tube was achieved with a 2 by 2 design . A large number of serum tests were systematic ally checked postoperatively . There was one death in a patient treated without either a drain or gastric tube . Apart from that , there were few complications . In accordance with the results of an earlier r and omized trial , no difference in postoperative pyrexia and hospital stay was found between patients with and those without intraperitoneal drains . The concept of drainage fever is therefore refuted . An abnormal increase in the serum bilirubin level was found significantly more often after operations without an intraperitoneal drain . This transient rise is explained as being due to resorption of bile that would otherwise have been discharged via the drain . An abnormal rise in the haptoglobin level also occurred significantly more often in patients in whom intraperitoneal drains were not used . The suggested explanation is that omission of the drain adds to the operation 's traumatic effect . Vomiting occurred significantly more often in patients without nasogastric tubes . The use of intraperitoneal drains and nasogastric tubes is recommended
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 .