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Patients Recovery Following Cholecystectomy through A cohort Randomized Clinical Trial. | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 20, Issue 1, 2007, Pages 85-87 | ||
| Authors | ||
| Fadel Habeeb Taher; a Al-Bayati; Jameel Hazza | ||
| Abstract | ||
| Abstract Background & Objectives: The effect of incision length on patient recovery following cholecystectomy has not been investigated previously. In this study, an effort to objectively document the benefits of short incision. Patients & Method s: Three hundred patients with a diagnosis of gall stones were involved in this study. Elective cholecystectomy were randomized to either 5-cm or15-cm transverse subcostal incision, there were 150 patients in each group, age varies from 35 years to 70 years, mean SD the study was conducted from Dec 1999 to June 2005. All patients received prophylactic antibiotic. Result: Post–operative hospital stay was significantly shorter in the 5 cm incision group (mean 2 days vs 5-days). In the 5 cm incision group analgesic requirements were reduced and recovery of depressed, post-operative pulmonary function was faster (3% difference between groups day 1 and 7% on day 7) moreover oral intake in 5 cm group was 5-6 hours post-operatively while 15cm group oral intake was 24-36 hours post operatively. Conclusion:These results suggest that the length of incision may influence patient recovery following elective cholecystectomy . Keywords: | ||
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