Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Jalbaji P More, MS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Shekhar A Jadhav, MS, FMAS1, Amarjeet E Tandur, MS1, Priyanka Saha, MBBS1, Khushboo Kadakia, MBBS1, Soumya Chatnalkar, MBBS1, Ruchira Bhattacharya, MBBS1, Shraddha R Gajbhiye, MBBS, MD Associate Professor2. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India, 2Govt. Medical College, Nagpur,Maharashtra,India
ABSTRACT
Background: Gall bladder perforation is a rare clinical entity but life-threatening complication of cholecystitis with or without stones and associated with increased rate of mortality and morbidity due to late presentation and diagnosis.Niemeier classified gallbladder perforation into three types.
Objectives: To discuss the laparoscopic management of gall bladder perforation in emergency patients at tertiary care centre in government setup.
Method: Patients diagnosed as gall bladder perforation type1 &2 were included in the study.
Results: 13 patients (5 males, 8 females) with an average age of 58 ± 2 years had Gall bladder perforation. Patients with Gall bladder perforation type 1, 2 were 4 and 9. All patients were subjected to surgery via laparoscopic approach with conversion to open in 1 case. Gallbladder perforation was located on the fundus in 8 cases and body in 4 cases and 1 at hartman’s pouch. The average duration of stay in patients with laparoscopic surgery was 4 days while it was 8-10 days in case of open surgery. The overall mortality rate was 7.7% (1 cases). Complications included wound infection in 4 cases
Conclusion:The laparoscopic approach can be a safe and feasible method in order to treat both the cause and the complication in this situation. Early diagnosis and appropriate minimally invasive approach are the key to manage this condition.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94391
Program Number: P205
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster