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 .
Closed-suction versus Penrose drainage after cholecystectomy. A prospective, randomized evaluation.
Closed-suction drainage was compared prospect ively to open , passive drainage ( Penrose drains ) in 128 patients undergoing cholecystectomy . Patients were r and omized at the time of operation to receive either closed-suction drains ( Group I , 67 patients ) or Penrose drains ( Group II , 61 patients ) . The preoperative clinical parameters of the two groups were similar . The patients in Group I when compared with those in Group II had a shorter duration of drainage ( 3.3 days and 4.1 days , respectively , p less than 0.01 ) , a lesser volume of drainage in the first 48 hours postoperatively ( 78 ml and 132 ml , respectively , p less than 0.001 ) , a decreased incidence of fever on the night of operation ( 24 of 67 patients and 39 of 61 patients , respectively , p less than 0.05 ) and on the first postoperative day ( 26 of 67 patients and 32 of 61 patients , respectively , p less than 0.05 ) , and a lower leukocyte count on the first postoperative day ( 12,000 cells/mm3 and 14,100 cells/mm3 , respectively , 0.05 less than p less than 0.1 ) . Patients in Group I tended to have a lower rate of wound infection ( 1 of 67 patients versus 5 of 61 patients in Group II , 0.05 less than p less than 0.1 ) and had a much lower incidence of drain site tenderness ( 8 of 67 patients in Group I versus 24 of 61 patients in Group II , p less than 0.05 ) . This study demonstrates the superiority of closed-suction drains over open , passive drains after cholecystectomy
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 .