Abbad-ur Rehman, Abdul Rehman Sarwar, Asif Sajjad, Ansar Latif.
Morbidity in Surgery for Gall Stone Disease: Comparison between Drain Placement and Nonplacement.
Pak J Med Health Sci Jan ;12(1):98-103.

Aim: To determine the post-operative complications in surgical treatment of gall stone disease in relation to drain placement; being practiced in Surgical department of Allama Iqbal Memorial Teaching Hospital. Sialkot. Study Design: Prospective, comparative study . Time and Place of study: Department of Surgery; Allama Iqbal Memorial Teaching Hospital, Sialkot. From 1st August 2015 till 31 August 2017. Methods : In a period of 3 years, all patients admitted serially were operated and data was collected prospectively. Patients were classed into two groups Group I with drains and Group II without drains. Postoperative course in the hospital and in outpatients during follow up was monitored and complications recorded; similarly the cost associated with antibiotic therapy and being away from the job was monitored. Data was collected and analyzed using SPSS v 20 . Results : Out of 550 patients who were included in the study, in 109 patients after cholecystectomy drains were placed and it was designated as Group I; while Group II had 441 patients. Laparoscopic cholecystectomy was done in overall patients. The complications encountered are shown in detail in resuls. We had increased morbidity in group II patients while we encountered 4 mortalities unrelated to surgical procedures. Conclusions: The morbidity is higher among the patients in which drains are not placed after cholecystectomy as compared to those in which drains are placed. The complication rate is low with placement of drains as complications are detected and treated as and when it happens while these are either missed or detected late and leads to severe morbidity, re-exploration and in some cases mortality in patients when the drains are not placed.

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