COMPARISON OF DEGREE OF POSTSURGICAL PAIN AMONG PATIENTS WITH ROUTINE DRAINAGE AND WITHOUT DRAINAGE AFTER APPLICATION OF UNCOMPLICATED ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY

Objective: The placement of sub-hepatic drainage after the application of Laparoscopic Cholecystectomy (LC). This drainage is also considered to influence the postsurgical pain, infections, and sub-hepatic collections. This research work aimed to provide a comparison of the average pain scores in the patients with sub-hepatic drainage and patients without drainage after surgical intervention of uncomplicated elective laparoscopic Cholecystectomy. Methodology: This research work was completed in the duration of six months from June 2019 to November of 2019. This study was conducted in CMH Lahore. The ethical committee of the hospital permitted to conduct this research work. We took written consent from every patient after describing them the purpose of this research work. The calculation of the samples carried out with the WHO calculator, and we used random sampling to separate the 170 patients who were undergoing Laparoscopic Cholecystectomy into two groups. The patients of one group were present with sub-hepatic drainage, and patients of another group were without it. The evaluation of the degree of the postsurgical pain carried out by the VAS (Visual Analogue Scale) by duty doctor at 24 hours. The collection and analysis of the data carried out with the application of the Chi-square test and P-value of less than 0.050 were considered as significant. Results: The findings of this research work shows that the severity of the postsurgical pain in the groups of the patients with routine drainage is higher as compared to the group of the patients without drainage after the application of the uncomplicated elective Laparoscopic Cholecystectomy. Conclusion: It is essential to avoid the placement of the sub-hepatic drain in elective uncomplicated Laparoscopic Cholecystectomy to decrease the after-surgical pain. KEYWORDS: Laparoscopic Cholecystectomy, Severity, Postsurgical, Visual Analogue Scale, Asymptomatic, Hepatic, Elective, Drainage