Cholecystectomy with and without drainage
Autor: | Robert C. Cochran, Daniel C. Budd, William J. Fouty |
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Rok vydání: | 1982 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Incidence (epidemiology) General surgery Atelectasis General Medicine medicine.disease law.invention Surgery Clinical trial Randomized controlled trial law Medicine Cholecystectomy Drainage business Prospective cohort study Bile peritonitis |
Zdroj: | The American Journal of Surgery. 143:307-309 |
ISSN: | 0002-9610 |
DOI: | 10.1016/0002-9610(82)90097-6 |
Popis: | A randomized, prospective study of 300 cholecystectomies was undertaken to evaluate the merits of drainage through a standard Penrose or Chaffin-Pratt sump tube matched against no drainage at all. There was no difference in mortality or length of hospital stay. There was, however, a significantly higher incidence of postoperative pyrexia due to atelectasis and wound infection in the drainage groups. Neither drain fulfilled its objective of providing outflow for a subhepatic collection, thus avoiding bile peritonitis. This study suggests that surgical drainage after every uncomplicated cholecystectomy is unnecessary and unwise. |
Databáze: | OpenAIRE |
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