Abid Halim, Tamjeed Gul, Kamran Ahmad.
Comparison of Muscle Cutting and Muscle Sparing in Open Cholecystectomy.
Ophthalmol Update Jan ;12(4):306-8.

Objective: Objective of the study was to determine the effectiveness of muscle cutting and muscle sparing in open cholecystectomy in terms of pain and hospital stay. Materials and Methods: This randomized control study was done in surgical department, Khyber Teaching hospital, Peshawar from 4/01/2009 to 31 /2/2014 recruiting 135 patients with symptomatic Gall stones, divided into 2 groups; Group A (muscle cutting, 67 patients) and Group B (Muscle sparing, 68 patients). Patients were reassessed after 24 hours for pain measured by visual analogue score and hospital stay was recorded. Data was analyzed in software SPSS version16.0. T test was applied to compare the mean pain and hospital stay, keeping p value < 0.05 as significant. Results: Mean age of patients in group A and group B were respectively 36.86 years+7.10 SD and 38.28 years+7.87 SD for male and 37.90 years+8.57 SD and 39.40 years+6.04 SD for female (P=0.396). Mean pain ± standard deviation after 24 hours in group A and group B respectively were; 6.7302 ± 0.6875SD and 5.0012 ± 0.2534SD (P=0.0001). Mean duration of hospital stay in group A and group B respectively were; 2.36 days ± 1.00 SD and 2.56 days ± 1.09 SD for male and 2.67 days ± 1.97 SD and 2.76 days ± 1.16 SD for female (P=0.541) Conclusion: Cholecystectomy through muscle splitting technique by right subcostal incision is less painful and has shorter hospital stay.

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