RELATIONSHIP OF GALL BLADDER PERFORATION AND BACTERIOBILIA WITH OCCURRENCE OF SURGICAL SITE INFECTION FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 41
Abstract
BACKGROUND Surgical site infection (SSI), a significant postoperative complication, can lead to considerable patient morbidity and mortality1 . Preventing postoperative infection is an essential factor in improving the results of surgical procedures. At present, laparoscopic cholecystectomy (LC) is the standard treatment for symptomatic cholelithiasis. The incidence of infectious complications after LC is significantly lower compared to infections with open cholecystectomy. MATERIALS AND METHODS The study was conducted in the Post graduate Department of Surgery, Govt. Medical College, Srinagar over a period of two years from December 2015 to December 2017. This study is prospective in design comprising of 100 cases of cholelithiasis diagnosed by ultrasonography, undergoing Laparoscopic Cholecystectomy and fulfilling the inclusion and exclusion criteria. RESULTS Mean age of patients in our study was 37.3 years ± 10.14 most of our patients were of the age group of 40-49 comprising of 42% and least were of the age group of 10-19 years comprising of 7%. Sex distribution in our study- most of them were females 61% followed by males who were 39%. Among 100 patients in our study of uncomplicated gall stones with bile spillage, bile culture was positive in 17 patients and 6 among these 17 developed port site infection and rest 11 didn’t have any wound infections. Remaining 83 patients with spillage had negative bile cultures and only 3 had wound infection which is statistically significant with P value of 0.0006. So far as wound site infection was concerned among 100 patients in our study with bile spillage, superficial wound site infection was found in 9 patients (i.e. 100%) with no deep wound site infection in any patients. CONCLUSION Gall bladder spillage is an uncommon occurrence in most of the cases but when it occurs main goal of all surgeons should be to manage these complications with minimal harm to the patients. Whenever spillage of bile occurs during laparoscopic cholecystectomy, it’s advisable to take sample of bile for culture and sensitivity and treat that patient accordingly.
Authors and Affiliations
Shakeel Ahmad Mir, Abid Hussain Wani, Ishfaq Ahmad Gilkar, Yaqoob Hassan
Keywords
Related Articles
- EP ID EP575968
- DOI 10.18410/jebmh/2018/593
- Views 47
- Downloads 0
CLINICAL PROFILE OF STROKE PATIENTS WITH REFERENCE TO THE PRESENCE AND DURATION OF MODIFIABLE RISK FACTORS
BACKGROUND Stroke or brain attack is the sudden loss of neurological function caused by interruption of the blood flow to the brain. Ischaemic stroke is the most common type, affecting about 80 percent of individuals wit...
SUBCLINICAL HYPOTHYROIDISM IN METABOLIC SYNDROME AND ROLE OF CRP IN 50 ADULT PATIENTS
BACKGROUND Metabolic Syndrome (MetS) is generally characterised as a clustering of the abnormal levels of blood lipids (low HDL and high triglycerides), impaired fasting glucose, elevated blood pressure, and excess abdom...
SPECIFIC LEARNING DISORDER IN CHILDREN WITH ATTENTION DEFICIT/HYPERACTIVITY DISORDER
BACKGROUND Attention Deficit/Hyperactivity Disorder (ADHD) is a behavioural and neurocognitive condition characterized by developmentally inappropriate and impairing levels of gross motor overactivity, inattention, and i...
STUDY OF THE ANATOMICAL VARIATIONS OF THE MEDIAN NERVE IN HUMAN FOETUSES AND THEIR CLINICAL IMPLICATIONS
BACKGROUND Median nerve is one of the most important terminal branches of the brachial plexus. Anatomical variations in the formation of the median nerve are common and have been reported by several authors. METHODS Dead...
INCIDENTALLY DISCOVERED SOLID PANCREATIC MASSES: IMAGING AND CLINICAL OBSERVATIONS
PURPOSE: The purpose of this study was to review the CT findings and clinical outcome in patients with incidentally detected solid pancreatic masses.