Original article
English
F.S. Rakas, R.S. Kooda, A.A, Hadi, F. Gamil, M. Gandouz
Department of Surgery, Al-Arab Medical University, Benghazi S.P L.A.J.
Garyounis Medical Journal Vol. 14, No. 1-2. January/July 1991: 27-36
Abstract
This prospcetive study reveiws 1230 consecutive patients who underwent surgery for gall stone disease between January 1981 to December 1985. The incidence of gall stones was more in younger age and highest in the 4th decade of life. Women were seven times more affected than men. Only one patient with uncomplicated gall stones died after cholecystectomy and the overall mortality was 0.5 percent. The mortality in ptients having common bile duct exploration (N 164) was 3% (5 patients). About 19 percent (238) of pateints had one or more complications. of 164 patients undergoing duct exploration, 11 had retained stones. Acalculus cholecystitis was found in 2 percent (25) cases. Incidence of radio opaque stone in this study was very low (only 2 percent), wound infection was found in 11 percent of cases. About 21% of them had the same bacteria in the wound as those culture from the bile and 79% had different bacteria. This suggests that wound infection occurs by endogenous and/or exogenous sources.
Keywords: Management of Gall Stones in Benghazi
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