839 An Evaluation of Drain Usage After Laparoscopic Cholecystectomy: A Dual-Cycle Audit at a Tertiary Centre

Résumé fourni par la source

Abstract Aim To audit our practice of drain tube insertion after laparoscopic cholecystectomy, in accordance with the SAGES guideline. Method This prospective audit was conducted in three phases:Pre-intervention (August – October 2023): Data was collected on all consecutive adult patients undergoing elective laparoscopic cholecystectomy.Educational intervention: The surgical team was provided the importance of the audit and educated about the SAGES guideline on drain use.Post-intervention (November - December): Data was again prospectively collected to complete the audit cycle. Results In the first cycle, there were 30 patients (mean age 45.77 years), 26 were female (86.7%). Drainage was used in all patients, despite it being clinically indicated in only 16.6% of the cases. In the second cycle, involving another 30 patients (mean age 47.03 years). The findings showed that a drain was used in 53.3% of patients, despite only 23.3% of the patients requiring it. Significantly, following the educational intervention, the rate of drain usage in inappropriate cases was reduced by a significant 60.87% (from 100% to 39.13%). Conclusions This audit, the first of its kind in a tertiary centre in a low-income country like Syria, highlights the value of evidence-based practices in enhancing patient care. It confirms that routine drain placement after uncomplicated laparoscopic cholecystectomy is unnecessary, leading to reduced hospital stays, complications, and costs, while fostering surgical team awareness of quality improvement initiatives in resource-limited settings.

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