TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS

Objective: To compare the severity of post-operative pain and incidence of incisional hernia in open cholecystectomy while making rectus sparing and rectus cutting incisions in patients with symptomatic cholelithiasis. Study Design: Randomized controlled trial. Place and Duration of Study: Com...

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Autores principales: Naveed Ahmed, Syed Hashim Zaidi, Safdar Hussain Awan, Mudasir Saleem, Muhammad Javad Yousaf, Farhan Tariq
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Publicado: Army Medical College Rawalpindi 2019
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spelling oai:doaj.org-article:a86f69b8841342699562219100f6a3e02021-11-12T03:11:09ZTO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS0030-96482411-8842https://doaj.org/article/a86f69b8841342699562219100f6a3e02019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3025/2263https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the severity of post-operative pain and incidence of incisional hernia in open cholecystectomy while making rectus sparing and rectus cutting incisions in patients with symptomatic cholelithiasis. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Skardu, three years with effect from May 2012 to May 2015. Material and Methods: Patients meeting the inclusion criteria who underwent elective open cholecystectomy were included in the study. Written informed consent was taken before surgery. Approval of hospital ethics committee was also granted. Patients were divided into two groups “I" and "II" of sixty one patients each. In group "I", patients underwent open cholecystectomy by making rectus sparing subcostal incision. In group "2", patients underwent open cholecystectomy by making rectus cutting subcostal incision. Patients were assessed on 1st, 2nd and 7th postop days for severity of pain using visual analogue score. Patients in both groups were also followed up to look for development of incisional hernia. Results: Severity of post-operative pain is much less in patients undergoing open cholecystectomy by making rectus sparing subcostal incision. However no difference was noted in both techniques in terms of incidence of incisional hernia as no patient in any group developed this morbidity. Conclusion: Use of rectus sparing subcostal incision was found more feasible in open cholecystectomy in terms of severity of postoperative pain as compared to rectus cutting incision. However, both techniques did not reveal any difference in terms of incidence of incisional hernia as no patient in either group developed hernia on six months follow up.Naveed AhmedSyed Hashim ZaidiSafdar Hussain AwanMudasir SaleemMuhammad Javad YousafFarhan TariqArmy Medical College Rawalpindiarticleincisional herniaopen cholecystectomyrectus cuttingMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 549-553 (2019)
institution DOAJ
collection DOAJ
language EN
topic incisional hernia
open cholecystectomy
rectus cutting
Medicine
R
Medicine (General)
R5-920
spellingShingle incisional hernia
open cholecystectomy
rectus cutting
Medicine
R
Medicine (General)
R5-920
Naveed Ahmed
Syed Hashim Zaidi
Safdar Hussain Awan
Mudasir Saleem
Muhammad Javad Yousaf
Farhan Tariq
TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
description Objective: To compare the severity of post-operative pain and incidence of incisional hernia in open cholecystectomy while making rectus sparing and rectus cutting incisions in patients with symptomatic cholelithiasis. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Skardu, three years with effect from May 2012 to May 2015. Material and Methods: Patients meeting the inclusion criteria who underwent elective open cholecystectomy were included in the study. Written informed consent was taken before surgery. Approval of hospital ethics committee was also granted. Patients were divided into two groups “I" and "II" of sixty one patients each. In group "I", patients underwent open cholecystectomy by making rectus sparing subcostal incision. In group "2", patients underwent open cholecystectomy by making rectus cutting subcostal incision. Patients were assessed on 1st, 2nd and 7th postop days for severity of pain using visual analogue score. Patients in both groups were also followed up to look for development of incisional hernia. Results: Severity of post-operative pain is much less in patients undergoing open cholecystectomy by making rectus sparing subcostal incision. However no difference was noted in both techniques in terms of incidence of incisional hernia as no patient in any group developed this morbidity. Conclusion: Use of rectus sparing subcostal incision was found more feasible in open cholecystectomy in terms of severity of postoperative pain as compared to rectus cutting incision. However, both techniques did not reveal any difference in terms of incidence of incisional hernia as no patient in either group developed hernia on six months follow up.
format article
author Naveed Ahmed
Syed Hashim Zaidi
Safdar Hussain Awan
Mudasir Saleem
Muhammad Javad Yousaf
Farhan Tariq
author_facet Naveed Ahmed
Syed Hashim Zaidi
Safdar Hussain Awan
Mudasir Saleem
Muhammad Javad Yousaf
Farhan Tariq
author_sort Naveed Ahmed
title TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
title_short TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
title_full TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
title_fullStr TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
title_full_unstemmed TO COMPARE THE SEVERITY OF POST OPERATIVE PAIN AND INCIDENCE OF INCISIONAL HERNIA IN OPEN CHOLECYSTECTOMY: RECTUS SPARING V/S RECTUS CUTTING INCISIONS
title_sort to compare the severity of post operative pain and incidence of incisional hernia in open cholecystectomy: rectus sparing v/s rectus cutting incisions
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/a86f69b8841342699562219100f6a3e0
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