Panacea Journal of Medical Sciences

Cholelithiasis in rural population of Haryana

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Article Type : Original Article

Author Details: Sarita Kanth, Ajay Verma, Ajay Madan

Volume : 7

Issue : 2

Online ISSN : 2348-7682

Print ISSN : 2249-8176

Article First Page : 92

Article End Page : 94

Abstract

Cholelithiasis is very common in the Northern part of India. Lifestyle and food habits are contributing factors for this disease. This study aimed at the pattern, presentation, management and type of gall bladder stones in this rural population of Haryana and how the patient centric decision (when patient decides for themselves regarding types of operation either mini-laparotomy cholecystectomy or laparoscopic cholecystectomy), affect the outcome. This study includes 152 patients of cholelithiasis. Clinical presentations were noted including their dietary habits. For the definitive diagnosis, liver function test (LFT) and ultrasonography (USG) were relied upon. We have informed them about the availability of operations of cholecystectomy that is either mini-laparotomy or laparoscopic, and depending on their choice, we operated and observe the outcome. The distribution of gall bladder stones examined by USG and LFT was 75.6% in female and 24.3% in male, ranging from 18 to 65 years of age. Most (93.4%) of all gallstones were cholesterol stones except few mixed stones. Given the option of operation, a high number of patients selected mini-laparotomy cholecystectomy, apparently because of the cost involved. As this is a patient-centric decision making about the operation of choice study (either mini-laparotomy cholecystectomy or lap cholecystectomy), therefore showing that most cases can be managed through mini-laparotomy cholecystectomy (under high spinal) without any major complication, and this is naturally guiding us towards cost effectivity in the rural setup.

Keywords: Cholelithiasis, Mini-laparotomy cholecystectomy, Lap cholecystectomy, Cholesterol stones, Patient centricity.

Doi No:-10.18231