Laparoscopic Cholecystectomy with and without Vacuum Suction Drain

Abstract

Objective: To compare the frequency and severity of pain due to vacuum suction drain placement postoperatively, in patients of laparoscopic cholecystectomy. Patients and Methods: This randomized control trial study was carried out at surgical Unit PAEC General Hospital Islamabad from Jan 2015 to Dec 2016. In total two hundred and twenty cases of gallstone disease were registered who fulfilled the inclusion criteria. The cases were divided into two study groups by random number table. Patients’ in-group “A” underwent laparoscopic cholecystectomy with vacuum suction drain placement and those in-group “B” had cholecystectomy without vacuum suction drain.
Results: At 24th hour, a total of 42 patients experienced no pain. Among these 11 were from group A and 31 were from group B. In 178 patients, pain was present (Group A = 109 and Group B = 79). Number of patients suffering from pain was significantly high in group A and severity of pain was also significantly higher in Group A (p-value = 0.002).
Conclusion: Laparoscopic cholecystectomy without drain is better as compared to the one with drain, with less postoperative pain.