The Frequency of Port-Site Infection in Laparoscopic Cholecystectomies – A Retrospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background: Introduction of laparoscopic surgery was a revolution in the field of surgery. Despite many benefits, the technique is associated with certain complications including port site infection. Port site infection, although less common is annoying both for the surgeon and the patient, and cripple the benefits of minimally invasive surgery. Port site infection not only increases the economic burden, pain and hospital stay of patient but also harm the reputation of the attending surgeon and hospital. Unfortunately, there is a reflection that antibiotics can solve the situation leading to misuse of antibiotics and evolution of multi drug resistant strains of microorganisms. Methods: This observational study carried by the Department of General Surgery at MaldaMadical College Hospital, Malda, West Bengal over a period of 3 years (July 2014 to June 2017). The study was carried out in 200 patients who underwent laparoscopic cholecystectomy by our team. Age, gender, operation duration and operative findings were evaluated regarding port site infections. Aim:To study the frequency of port-site infection (PSI) and their magnitude, planning adequate management and to recommend the measures to prevent them in future. Results: In the current study, 200 patients including 122 females (61%) and 78 males (39%) were operated. A total of 19 Patients (9.5%) had port site infection. Infection was seen in 8 male patients (42%) and 11 female patients (58%). Age range was 16-72 years. Most common port involved was epigastric, which developed infection in 7 patients (77.77%), followed by umbilical port which got infected in 5 patient (26.31%) , both epigastric and umbilical port infected in 3 patients (33.33%) and last all four ports got infected in 4 patients (22.04). Gall bladder was extracted through epigastric port site in 180 patients (90%) and through umbilical port site in 20 patients (10%).All cases were superficial wound infections and all are under controlled by conservative and surgical management. Conclusion: Laparoscopic cholecystectomy is associated with a low risk of Port Site Infection, which in most cases is only superficial and responds to local measures. Infection is most commonly seen at port site through which gall bladder was extracted
Authors and Affiliations
Dr. ParthaPratim Mandal, Dr. Pabitra Kumar Goswami, Dr. Prasanta Kumar Roy
Keywords
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- EP ID EP255725
- DOI 10.9790/0853-1609022329
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