Volume : 6, Issue : 11, November - 2017

To study various complications of open CBD exploration in view of residual stones, bile leakage, difficulty in removing t-tube and any infections.

Dr. Salil Yadav, Dr. Ram Gopal Sharma

Abstract :

<p>&nbsp;<span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">An </span><span lang="EN-GB" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">observational</span><span lang="EN-GB" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;"> </span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">study was conducted in </span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">Department of General Surgery (MMIMSR), Ambala</span><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">, on 25 </span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">adult patients of choledocholithiasis</span><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">. They</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;"> were studied postoperatively by the development of complications associated with T- tube drainage of CBD and complications following T- tube removal. Choledocholithiasis was more common in females with mean age of the patients were</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">48.5&plusmn;16.8 years</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">.</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;"> The most common clinical feature was a</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">bdominal</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;"> pain (</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">84.0%). Postoperative complications were observed mostly 4 (16%) patients had postoperative nausea &amp; vomiting followed by bile leakage with 3 (12%). The culture was found positive in 16 (64%) patients. Bile culture should be done routinely in all patients undergoing biliary surgery and antibiotics should be modified depending upon sensitivity report of culture. Cholangiogram is mandatory before removal of T-tube and patients should be observed in hospital after T-tube removal for over a day. Majority of patients developing complications following T-tube removal can be managed conservatively.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></b></p>