Aims and objectives: This study aims to analyze feasibility and outcome of open cholecystectomy (muscle-splitting) under spinal anaesthesia, which can be performed with less demand on resources.
Methods: Set up: A Secondary care hospital-based study in the Civil Hospital, Arki, Solan (H.P)
Study Period: One-year w.e.f.1st June 2021 to 30th May 2022
Setting: This study was done in the Civil Hospital, Arki, Solan (H.P)w.e.f.1stJune 2021 to 30th May 2022 on90 patients admitted for open cholecystectomy for symptomatic cholelithiasis.
Study Design: Observational study
Complicated cholelithiasis (biliary pancreatitis, jaundice, cholangitis) was excluded.
Patients and families were counselled for open cholecystectomy (muscle-splitting) under spinal anaesthesia.
Results: OUT OF 90 cases completed under spinal anaesthesia, Intra – op complications (Hypotension, Spo2 fall) were seen in 12 patients. post -op complications were seen in (PONV, Spinal headache, Urine retention) were seen in 15 patients, mean duration of surgery was 35 minutes , Mild post-operative pain was reported by 40 patients at six hours and 38 patients at 12 hours, The mean hospital stay was 2 days, Wound complications occurred in 7 patients. Overall, 73 patients were satisfied and would recommend the procedure. There was no bile-duct injury, re-surgery, or mortality.
Conclusion: Open cholecystectomy (Muscle- splitting) under spinal anaesthesias is safe and effective with early feeding, short hospital stay, less demand for resources, and good patient satisfaction.
Impact Factor
2022: 6.012
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