title: Early cholecystectomy in acute cholecystitis: experience at DHQ Hospital Abbottabad.
abstract: BACKGROUND
  Cholelithiasis is a common disorder affecting the females more commonly. Most of the population carrying the gallstones remains asymptomatic, however biliary colic and acute cholecystitis is a common complication. Most surgeons agree that early cholecystectomy is safe and should be the procedure of choice in acute cholecystitis. Objective of this study was to determine the frequency of patients with acute cholecystitis, and morbidity and mortality in such cases.
  
  
  METHODS
  A prospective study, conducted at DHQ Hospital Abbottabad, and Yahya Welfare Hospital, Haripur simultaneously on 162 patients having symptomatic gall stones. All patients were admitted on presentation and surgical intervention done within 72 hours on patients fit for surgery. Patients with cardiac problem, HCV positive, and with radiologic evidence of Common Bile Duct (CBD) stones were excluded. Ultrasonography abdomen was the main investigation.
  
  
  RESULTS
  Postoperative complications, hospital stay and return to routine activities was evaluated. The postoperative complications were seroma formation in 3 cases (1.9%), liver trauma resulting in bleeding and prolonged hospital stay in 1 case (0.6%). In 1 patient stones slipped into CBD resulting in CBD exploration.
  
  
  CONCLUSIONS
  Early cholecystectomy with upper right transverse incision and muscle retraction in acute cholecystitis is a safe, and cost effective procedure with fewer complications, better cosmesis and early return to work.
authors.affiliation: Department of Surgery, Women Medical College, Abbottabad, Pakistan. aasif_saeed@yahoo.co.uk
authors.forename: Asif
authors.initials: A
authors.lastname: Saeed
authors.forename: Muhammad
authors.initials: M
authors.lastname: Nawaz
authors.forename: Aysha
authors.initials: A
authors.lastname: Noreen
authors.forename: Sarfraz
authors.initials: S
authors.lastname: Ahmad
mesh_terms: D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000379:methods*; D041881:Cholecystitis, Acute / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D011183:Postoperative Complications; D016896:Treatment Outcome; D014463:Ultrasonography