TO STUDY PORT SITE INFECTIONS (PSI) FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY AND TO MINIMIZE MORBIDITY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 52
Abstract
BACKGROUND Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stones.(1) Port site infection(PSI) is a common complication of laparoscopic cholecystectomy which often proves problematic and nagging for the patient and the operating surgeon; the former being affected by increased morbidity in terms of pain, suboptimal level of wellbeing, increased hospital stay, emotional turmoil, and increased economic loss. MATERIALS AND METHODS The present study was a prospective observational study conducted on 620 patients who underwent laparoscopic cholecystectomy in Government Hospital, Sarwal, between February 2014 to January 2018. This involves the study of infection of port site following lap cholecystectomy over a period of four years and aims to minimise the incidence of PSI which is showing a latest trend from polymicrobial to atypical form. Out of 620 patients, 600 patients were operated with 3 ports and 20 patients with 4 ports. RESULTS PSI was determined to be 4.67% and was most commonly due to Staphylococcus aureus though atypical microorganisms were the causative agents in some cases. The commonest site of post-surgical infection was the epigastric port. CONCLUSION PSI is a commonly observed complication following laparoscopic cholecystectomy. With the passage of time, common pyogenic organisms are being replaced by atypical organisms.
Authors and Affiliations
Raj Rishi Sharma, Anil Mehta, Rachna Magotra, Arihant Sharma
Keywords
Related Articles
- EP ID EP550491
- DOI 10.14260/jemds/2018/1220
- Views 47
- Downloads 0
SURGICAL MANAGEMENT OF TIBIAL PLATEAU FRACTURE - A PROSPECTIVE STUDY
[b] BACKGROUND[/b]: Tibial plateau fractures are common injuries of the proximal tibia which vary in severity from minimally displaced stable injuries to high energy complex fractures. The emphasis in treating these...
UTERINE ANGIOLEIOMYOMAS: A REPORT OF 2 CASES
Angioleiomyomas are relatively common neoplasms in skin and superficial planes of extremities (89%), head (48%) and trunk (14%). These tumours are extremely rare in uterus with very few cases described in the l...
STAPHYLOCOCCUS AUREUS- HOSPITAL ACQUIRED AND COMMUNITY ACQUIRED, AND ANTIMICROBIAL TESTING IN A TERTIARY CARE HOSPITAL
BACKGROUND Staphylococcus aureus is a major pathogen causing a diversity of infections including bacteraemia, pneumonia, skin and soft tissue and osteoarticular infections. Infections due to MRSA are associated with incr...
SYNDEMIC INTERACTION BETWEEN HIV AND TB- A CATASTROPHIC DUET
BACKGROUND TB is the most common opportunistic infection (OI) among HIV-infected individuals and co-infected individuals are at high risk of death. The risk of developing tuberculosis (TB) is estimated to be between 16 -...
PREVALENCE AND ANTIMICROBIAL SENSITIVITY PATTERN OF PSEUDOMONAS AERUGINOSA FROM CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) CASES IN A TERTIARY CARE HOSPITAL OF BIHAR
BACKGROUND Among the bacteria causing CSOM, Pseudomonas aeruginosa has been particularly blamed for the deep-seated and progressive destruction of middle ear and mastoid structures through its toxins and enzymes. Objecti...