Abstract

The drainage in cholecystectomy is a matter of considerable debate. Therapeutic drains are necessity for sub hepatic abscess, but prophylactic drains are in question as it increases risk of infection and hospital stay. The study was designed to compare post-operative abdominal complication associated with elective cholecystectomy with drain vs without drain placement. This was a prospective study of100 patients admitted for laparoscopic cholecystectomy in the Department of Surgery, J.A. Group of Hospitals and G.R. Medical College, Gwalior (MP) during 2016-2017. Each case was then analyzed with respect to post-operative parameters like pain, subhepatic collection, wound infection, hospital stay. Patients in “without drain” group have lesser post-operativepain; lesser sub hepatic collection and shorter hospital stay and less wound infection in laparoscopic cholecystectomy compare to “with drain” group. Hence it is concluded that, in patients undergoing laparoscopic cholecystectomy, keeping drain can be avoided as it does not provide any additional advantage.

Keyword: Cholecystectomy, Drain placement.