AN OBSERVATIONAL RESEARCH TO ASSESS PAIN DURATION & OPERATIVE OUTCOMES IN THE PATIENTS DIAGNOSED WITH ACUTE GALL BLADDER DISEASES
| Main Author: | Rabia Iram, Rabia Ameer Ali, Sania Anwar |
|---|---|
| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1492862 |
Daftar Isi:
- Objective: Our aim in this particular research was to observe that if there is a connection of pain duration with the operative outcomes in the disease of the acute gallbladder. Methods and Patients: We completed this observational study at Sir Ganga Ram Hospital, Lahore at Surgical Unit from May 2016 to April 2017 on a total of sixty patients diagnosed with acute gallbladder diseases. Sampling technique employed in this research was non-probability convenience sampling. We also used a Proforma in order to include diagnostic values, clinical characteristics, operative outcomes and plan of the treatment. Diagnostic work-up included LFT (Liver Function Tests), complete blood picture and hepatobiliary ultrasound; whereas, CT Scan and HIDA was also considered according to the requirement. The researcher also performed regular radiographic and haematological studies. Results: Study included total sixty cases with a dominance of females over males as we included 50 females (83.3%) and 10 males (16.7%). Patients were positive in various categories such as 25 biliary colic patients (41.7%), 14 Murphy's sign positive patients (56%) and 21 patients of USG pathology (84%). There were also acute cholecystitis patients with 25 fever cases (71.4%), 25 positive Murphy's sign (71.4%) and 31 patients with an increased total leukocyte count (88.5%), reported as most common research outcomes. In the pre-operative outcomes, 17 cases had a chronically inflamed gallbladder (68%) and 4 cases had an acutely inflamed gallbladder (16%) in the time duration of under twelve hours. There was a common report about the acute gall bladders inflammation in 23 patients (65.7%) and 10 patients of the chronically inflamed gallbladder (28.5%). Conclusion: Prolonged pain duration refers to strong patients’ outcomes and operative outcomes. Keywords: Acute Cholecystitis, Biliary Colic, Clinical Outcomes, Operative, Pre-Operative, Post-Operative Outcomes and Cholecystitis ctomy.