The Utility of Drain Placement in Stoma Closure Surgeries A Comparative Study in Children

Utility of Drain Placement in Stoma Closure Surgeries

  • Sabreen Maqbol Resident, Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
  • Saleh Al Nassar Consultant, Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
  • Asma Alhoulan Surgical Intern, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
  • Amani Moqbel Student, College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia
  • Reham Rantisi Student, College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia
  • Samar Jaber Student, College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia
Keywords: Cholecystolithiasis, Clinical profile, treatment outcome

Abstract

Background: Cholecystolithiasis is a significant surgical problem. Variation in clinical symptoms of cholecystolithiasis forms the disease more thought-provoking. We aimed to explore demographics, the clinical profile of patients, and treatment outcomes of patients with cholecystolithiasis. Subjects and Methods: This is a retrospective study of patients with cholecystolithiasis from January 2018 to June 2021. The patients demographics, clinical profile, perioperative details, and treatment outcomes were analyzed. Results: A total of 304 patients (73 males) with cholecystolithiasis were included in the study. Median ages were 46 years (range: 19-71 years). Most of our patients 290 (95.6%) were symptomatic with the commonest symptom as upper abdominal pain. The conversion rate was 8.6%. Overall postoperative complications were found in 38 patients (12.2%). There was no mortality in this study. In logistic regression analysis, on multivariate analysis, out of the independent variables, sex (male), age (? 60 years), presence of comorbidity, and duration of surgery (? 2 hours), only the male gender was associated with an increased risk of postoperative complications (OR; 0.046, CI [0.018- 0.112], P < 0.05). Conclusion: Cholecystolithiasis is a common and significant surgical problem that usually presents with upper abdominal pain. Laparoscopic cholecystectomy is the standard care of treatment. Male gender is a risk factor for postoperative complications.

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Published
2022-12-31