Clinical Impact of Routine Abdominal Drainage After Laparoscopic Cholecystectomy
Condition: Abdominal Drainage; Laparoscopic Cholecystectomy; Gall Stones
MeSH terms: Gallstones
Study type: Interventional

Summary: 
      Patients and methods: 100 patients were included in this study. They divided into two groups,
      group (A) with drain and group (B) without drain. The investigators recorded the effect of
      drainage on, postoperative pain (Po-P) using visual analogue scale VAS at 6, 24, 48 hours and
      1 week postoperative nausea/vomiting at 6, 24, 48 hours postoperative, abdominal collection,
      hospital stay, chest complication, and postoperative body temperature.
    

Detailed description: 
      The patients were randomized into two groups using enclosed envelope. Group (A) with drain
      included 50 patients, and group (B) without drain included 50 patients.

      Under general anesthesia, and same antibiotics (3rd generation cephalosporin) Surgery was
      performed using conventional four ports umbilical port, port below xiphoid and two ports
      below right costal margin. Pneumoperitonum at pressure 12 mmHg. In group A nelton catheter
      (no 20) was inserted at the end of operation.

      The Intraoperative parameter observed included duration of the operation, amount of CO2 used
      in the operation, bile escape, saline irrigation during operation and volume of blood loss
      were recorded.

      The patients started oral feeding 8 hours (h) postoperatively; abdominal ultrasound was done
      for all patients in both groups on day of discharge to show any collection or free fluid in
      the abdomen. The patients were usually discharged after removal of drain, and when the
      patient surgically free.

      Postoperative pain was evaluated at 6 h, 24 h, 48, 1 week after operation using a visual
      analog scale (VAS) with which each patients noted the severity of pain at each evaluated time
      using a linear between zero (no pain) and 10 (severe pain). Postoperative analgesia in the
      form of non steroidal anti-inflammatory drug (NSAID) was administered intramuscularly when
      required. If the patients still complained of pain and required strong analgesic, (1 mg/kg
      pethidine intramuscularly) was administered. The total dose of these medications were
      recorded.

      Postoperative maximum body temperatures were recorded at (6 h, 24 h, and 48 h) for all
      patients.

      PONV were assessed postoperative after 6 h, 24 h and after 48 h. Metocloprpamide was given if
      the patients required reduction of nausea and the total dose of this medication was recorded.
      The frequency of vomiting was recorded.
    

Intervention name(s): intra abdominal drain; LC without drain
Intervention type(s): Procedure; Procedure
Intervention description(s): Under general anesthesia, and same antibiotics (3rd generation cephalosporin). Surgery was performed using conventional four ports umbilical port, port below xiphoid and two ports below right costal margin. Pneumoperitonum at pressure 12 mmHg. In group A nelton catheter (no 20) inserted at the end of operation.; Under general anesthesia, and same antibiotics (3rd generation cephalosporin). Surgery was performed using conventional four ports umbilical port, port below xiphoid and two ports below right costal margin. Pneumoperitonum at pressure 12 mmHg. In group no drain at the end of operation.
Other intervention name(s): Group A; Group B
Allocation: Randomized
Intervention model: Single Group Assignment
Masking: Single (Participant)
Primary purpose: Prevention
Keywords: drain; laparoscopic cholecystectomy; pneumoperitonum