No abstract

Although this retrospective review is likely to have underestimated the incidence of T-tube complications, it has demonstrated significant morbidity associated with T-tube use. The incidence of these complications has been constant and is unrelated to a laparoscopic approach.

Noninvasive deep venous studies are recommended in all patients with lower limb superficial thrombophlebitis because of the high incidence of occult DVT. Patients with DVT can then be treated appropriately.

Food tolerance and gastrointestinal quality of life, 2 to 4 years post-surgery are ostensibly best after SG, followed closely by RYGBP. AGB appears the least effective across these parameters. A significant positive relationship between food tolerance and gastrointestinal quality of life was confirmed.

The aims of this study were to see if laparoscopic cholecystectomy is associated with a similar postoperative pain pattern to gynaecological lapnroscopy and to see whether the use of a suprahepatic suction drain makes recovery from laparoscopic cholecystectomy mnre comfortable. After routine laparoscopic cholecystectomy nnd insertion of a suprahepatic suction drain, patients were randomized to suction or no suction on the drain. The time course of the severity of wound, abdominal and shoulder tip pain was assessed by visual analogue scales administered in the morning and afternoon of the tirst 3 postoperative days. The control group had a high incidence of shoulder tip pain similar to that after gynaecological laparoscopy. Patients in the treatment group reported signiticantly less shoulder tip pain than the control group (O.R.0.16, 95% Cl, 0.06–0.40). There was a tendency for the treatment group to report reduced abdominal and. to a lesser extent, wound pain. The authors recommend suprahepatic suction as a simple and more effective way to improve patient comfort after laparoscopic cholecystectomy.