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 .
Influence of intraperitoneal drainage after cholecystectomy; a prospective ultrasonographic study.
One hundred and fifty patients were prospect ively r and omised into 3 groups ( 50 in each group ) ; to receive a passive drain , closed suction drain or no drain after elective cholecystectomy . The drain was removed within 24 hours in 84 % of patients and was continued longer only if the amount of drainage was excessive or bilious . On the 3rd post-operative day , an  ultrasound examination  was performed in all patients for detection of subhepatic/subphrenic collection . Collection s were more frequently encountered in the patients without any drain ( 42 % ) followed by passive drain ( 26 % ) and suction drain group ( 20 % ) . Chest complications were frequently noted ( passive drain ; 6 % suction drain , 12 % , and no drain , 8 % ) , however , occurrence of this complication in various groups was similar ( p > 0.1 ) . Two patients ( 4 % ) without drain required ultrasound guided aspiration of subhepatic collection . Mean post-operative hospital stay was nearly equal for all the groups ( passive drain : 4.22 + /- 1 days , suction drain : 4.26 + /- 1.4 days and no drain : 4.62 + /- 2.3 days ) . Drainage reduced the incidence of post-cholecystectomy collection s and need for invasive intervention for collection related complications . However , the type of drainage ( active or passive ) did not influence the incidence of collection , frequency of complications and duration of post-operative hospital stay
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 .