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 .
A prospective randomized study of drained and undrained cholecystectomies.
One hundred twenty-three patients undergoing elective cholecystectomy at USAF Medical Center Keesler were studied in a prospect i ve r and omized manner to determine the differences in morbidity and mortality following drained and undrained cholecystectomies . The groups were compared for differences in mortality , wound infection , postoperative fever , and length of hospitalization . One death occurred due to an unrelated cause in an undrained patient . Three per cent of the undrained group developed wound infections as compared to five per cent in the drained group . This was not statistically significant . A significant difference occurred in postoperative fever between the drained ( 58 % ) and undrained ( 30 % ) groups . Postoperative hospitalization was also significantly shorter in the undrained group . This study suggests that drainage following elective cholecystectomy is not only unnecessary , but may add to postoperative morbidity and length of hospitalization
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 .