Sasi Ragavan, V (2023) A Study on the Degree of Gall Bladder Wall Thickness by Ultrasonography and It’s Impact on Outcomes of Laparoscopic Cholecystectomy in a Tertiary Care Hospital. Masters thesis, Madras Medical College, Chennai.
Full text not available from this repository.Abstract
AIM: To study the efficacy of pre operative Gall bladder wall thickness by ultrasonography and it’s impact on outcomes of Laparoscopic Cholecystectomy. Objectives: PRIMARY OBJECTIVE : To study the impact of gall bladder wall thickness by ultrasonography and it’s outcomes following laparoscopic cholecystectomy. Patients are grouped under 4 categories Normal wall thickness - < 2mm Mildly thickened - >2-4 mm Moderately thickened - >4-6mm Severely thickened - >6mm. SECONDARY OBJECTIVE: 1. To study the prevalence of complications. 2. To study the most common complication. 3. Complications included are Adhesions, hemorrhage, injury to biliary structures, bile leak post operatively and surgical site infections. 4. To study the duration of hospital stay. Materials and Methods: Site of study: Study was conducted at Rajiv Gandhi Government General Hospital, Chennai, a multispeciality tertiary care hospital. Type and Duration of Study: Study was a retrospective-prospective analysis of preoperative ultrasonography of gall bladder wall thickness and it’s impact on surgical outcome of laparoscopic cholecystectomy. The total duration of study was around 9 months from 01 March 2022 to November 15 2022. Sample size and study population: Sample size is 60 and the study population includes the patients admitted in Rajiv Gandhi Government General Hospital for elective laparoscopic cholecystectomy in the department of General Surgery. RESULTS: The Prevalence of intraoperative complications was found to be maximum among patients with severely thickened gall bladder wall followed by those with moderately thickened gall bladder wall. The most common complication was found to be hemorrhage followed by adhesions , bile duct injury, adhesions with bile duct injury. Patients with severely thickened gall bladder and moderately thickened gall bladder developed wound infection while it was nil among patients with normal and mildly thickened gall bladder. Those with severely thickened gall bladder wall had a prolonged post operative stay at the hospital averaging 7.3 (~7 ) days. CONCLUSION: In conclusion, laparoscopic cholecystectomy is treatment of choice for cholelithiasis. Preoperative prediction with ultrasonographic parameters has a positive prediction for difficult laparoscopy. It can help us in predicting difficult surgery, prevent complications, obtain adequate and proper consent from patient, as well as proper planning of surgery. An increase in the thickness of the gall bladder wall leads to an increased risk of complications as well as an increased length of stay in hospital post operatively.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 220120100517 |
| Uncontrolled Keywords: | Gall Bladder Wall Thickness, Ultrasonography, Laparoscopic Cholecystectomy, Tertiary Care Hospital. |
| Subjects: | MEDICAL > General Surgery > MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 15 Jan 2024 07:33 |
| Last Modified: | 19 Jan 2024 17:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/21307 |
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