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Year :2018
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Month :
January-February
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Volume :
7
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Issue :
1
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Page :
SO13 - SO18
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A Comparison of Benefits and Complications of Extraction of Gallbladder in an Endobag Using a Drain Bag Versus Direct Extraction
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Correspondence Address :
Kuldip Singh, Darshanjit Singh Walia, Anand Singla, Ashu Banal, Neeraj Jangir,
Dr. Anand Singla,
F-6, Tej Bagh Colony, Patiala-147001, Punjab, India.
E-mail: anand_singla84@yahoo.co.in
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Introduction: Introduction: The retrieval of gallbladder in an endobag, causes less spillage of contents, less infection and trauma, with smaller incisions leading to less post operative pain with more rapid recovery and early return to work. This was compared with the direct retrieval of gallbladder through the 10 mm port. A drain bag was used as an endobag which is an easily available and a cheaper alternative with similar effectiveness.
Aim: To compare the complications of extraction of gallbladder in an endobag v/s direct extraction through 10 mm port in laparoscopic cholecystectomy in terms of operative time, port site infection, port site pain, port site hernia, port site malignancy and cosmesis.
Materials and Methods: A prospective study to compare benefits and complications of extraction of gallbladder in an endobag using a drain bag versus direct extraction through the 10 mm epigastric port in 100 patients divided randomly in two groups of 50 patients each on the basis of draw after surgical assessment and confirming the diagnosis of cholelithiasis.
Results: With the use of an endobag, mean operative time taken was 53.40 min as compared to 57.90 min taken in procedure without using an endobag and there was no spillage of stones and bile, no port site spillage or port site hernia. Mean hospital stay was of 2.52 days and only 2% patients had port site infection as compared to 2.94 days and 8% patients had port site infection.
Conclusion: An endobag for retrieval of gallbladder during laparoscopic cholecystectomy was found better than the direct extraction of gallbladder. A sterile drain bag used as an endobag is a simple and cost effective method and can be used instead of the endobag.
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