Comparison of Factors Associated with Complications in Patients with Mirizzi Syndrome Undergoing Cholecystectomy

Objective: To determine the frequency of post-operative morbidity in terms of wound infection, wound dehiscence, gall bladder fossa collection and post- operative pancreatitis in patients with Mirizzi syndrome undergoing cholecystectomy. Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of General Surgery, Combined Military Hospital, Peshawar Pakistan, from Apr 2019 to Feb 2022. Methodology: A total of 150 patients of age 20-70 years of either gender, diabetics and undergoing cholecystectomy for Mirizzi syndrome were included. Cholecystectomy was done in every patient. After surgery patients were shifted to post-surgical wards and were evaluated for wound infection, dehiscence within 24 to 48 hours while their stay in the ward. Ultrasound was performed after 24 hours to check for Gall bladder fossa collection. After 48 hours of procedure, patients were discharged and were followed in OPD for up to 2 months and Post-op morbidity was noted. Results: Out of 150 patients of Mirizzi syndrome studied, 32(21.3%) showed any one of more complications while 128(78.7%) did not show any complication. Mean age of the study participants was 41.45±8.75 years. Wound infection was found in 16(10.6%) patients, wound dehiscence in 07(4.6%) patients, gall bladder fossa collection in 03(2%) patients and post-operative pancreatitis in 06(4%) patients. Method of surgery had statistically significant relationship with presence of complications among study participants (p-value<0.05). Conclusion: This study concluded that these complications were found in considerable no of patients managed for Mirizzi syndrome. Male patients and patients managed with open surgical method ....