Health Condition 1: Q442- Atresia of bile ducts
Conditions
Interventions
Intervention1: The intervention will be drain removal on post operative day 3 following Kasai portoenterostomy.: In this study , patients will be assigned randomly to Group A and Group B. In group A ,
Sponsors
Institute of Liver and Biliary Sciences D Vasant Kunj New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: Infants with Biliary Atresia undergoing KPE. Written informed consent from parents/guardians.
Exclusion criteria
Exclusion criteria: Presence of other major congenital anomalies (e.g., BASM). Intraoperative complications (e.g., significant bleeding, intestinal injury). Unstable post-operative condition (e.g., ongoing hemodynamic instability, hemorrhagic drain output).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comprehensive complication index in both arms.Timepoint: Comprehensive complication index in both arms calculated at discharge of the patient from hospital | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications , Clavin -Dindo 3 or more within 30 days (bile leak requiring intervention, surgical site infection, cholangitis episodes). Duration of IV antibiotic use. Duration of postoperative analgesia Incidence of drain re-insertion or further surgical intervention. Time to initiate breastfeeding. Jaundice clearance rates. Total cost of hospital stay. Time to resume Postoperative steroid therapy Number of days of diuretic use in both arms. Timepoint: 3 months | — |
Countries
India
Contacts
Public ContactDr Ragini Kilambi
Institute of Liver and Biliary Sciences , Vasant Kunj , New Delhi
Outcome results
None listed