A study on treatment modalities adopted for gallstone disease at a Tertiary care hospital

Abstract

The first Cholecystostomy is credited to John Stough Bobbs in Indianapolis on June 15, 1867. His patient a 32 year old woman had a large abdominal mass which proved to be the gall bladder filled with clear serous fluid and gallstones. He opened the gallbladder, removed the stones and closed it by sutures. His patient survived until the age of 77, when she died of atherosclerosis. This study has been based on the analysis of 25 cases of gallstones admitted to Hospital. After admission a detailed history was taken and clinical examination carried out. Various investigations were done to assess the patient. All 25 cases were subjected to laparotomy and all of them were evaluated before surgery with Ultrasonography. All patients had cholecystectomy as the main procedure. The decision regarding exploration of CBD was made on the basis of clinical, investigation and operative criteria. Among the two cases (8%) with wound infection one patient was diabetic who was treated conservatively. Temporary biliary leak from drain site stopped after 10 days. The patient with postoperative jaundice was investigated and found to have CBD stone, which was removed by ERCP, subsequently jaundice disappeared, and the patient with post cholecystectomy syndrome had dyspepsia, right hypochondriac tenderness.