Studying How the Location of abdominal tube Impacts Individuals Going Through Urgent Laparoscopic Gallbladder Removal.

Phase 3

Recruiting

Conditions: Acute cholecystitis.
Acute cholecystitis
K81.0

Registration Number: IRCT20201013049017N4

Lead Sponsor: Esfahan University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 80

Inclusion Criteria

Signs of local inflammation, like a positive Murphy's sign, the presence of a mass, tenderness, and pain in the right upper quarter of the abdomen.
Signs of systemic inflammation, such as fever above 38 degrees Celsius, elevated CRP levels, and increased white blood cell count.
Imaging findings such as a positive ultrasound Murphy's sign, gallbladder wall thickness greater than or equal to 4 mm, enlargement of the gallbladder exceeding 8 cm in the long axis and 4 cm in the short axis.
It has been a maximum of 72 hours since the symptoms began.

Exclusion Criteria

The patient's symptoms have been present for more than 72 hours.
Patient exhibiting signs of gangrenous cholecystitis or emphysematous cholecystitis.
Patients with a history of heart disease and an ejection fraction (EF) less than 40%.
patient ineligible for laparoscopic surgery due to any contraindication.
patients presenting concurrently with common bile duct stones and duct dilation or acute pancreatitis.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ength of hospitalization. Timepoint: The last day of the hospitalization. Method of measurement: verifying the patient's hospitalization duration.;Mean pain intensity during the initial 24 hours following surgery. Timepoint: The initial 24 hours post-surgery. Method of measurement: Score on the Visual Analog Scale (VAS) questionnaire.;The proportion of wound infections occurring after surgery. Timepoint: 24 hours post-surgery, 10-12 days post-surgery, and one month post-surgery. Method of measurement: History and examination.;The relative frequency of secretion accumulation requiring drainage after surgery. Timepoint: 24 hours post-surgery, and one month post-surgery. Method of measurement: Utilization of hepatic and bile duct sonography.;The proportion of patients requiring postoperative reoperation. Timepoint: 24 hours post-surgery, and one month post-surgery. Method of measurement: History, examination, and utilization of hepatic and bile duct sonography.

Secondary Outcome Measures