EVALUATION OF PORT SITE INFECTION FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY IN A GOVERNMENT TEACHING HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 17
Abstract
BACKGROUND The objectives of this study were to evaluate the frequency of port site infection following laparoscopic cholecystectomy, its prevention and its management. With the passage of time, laparoscopic cholecystectomy has revolutionized the ease of management of cholecystitis and associated gallbladder disease, but has been associated with catastrophic complication of port site infection. MATERIALS AND METHODS 400 cases of laparoscopic cholecystectomy were done at Dept. of surgery, Nalanda Medical College, Patna between March 2012 and 2018 (Feb) and were analysed for port site infection. Culture sensitivity was done for all patients who developed port site infection. Variables like port sites, port size, duration of operation time were evaluated. A search was also made for nontuberculous mycobacterium. RESULTS Out of 400 cases, 30 cases (7.5%) developed Port Site Infection. Out of these 15 cases (3.7%) had superficial infection while 12 cases (3%) had deep surgical infection. Five cases developed sinus formation due to (i). Retained nbecrotic foreign material and (ii). Infected suture material. Three cases developed nonhealing sinus which finally healed after treatment for Atypical Nontuberculous mycobacterium. 70% of cases of Port Site Infection developed at epigastric port, the port from which Gallbladder was taken out. In 95% of cases port site infection occurred in port size 10 mm or more. CONCLUSION Port site infection is more at the port from which Gallbladder is retrieved. Almost always occurred in port size of more than 10 mm size. Improved surgical training has resulted in decreased number of catastrophic complications of laparoscopic cholecystectomy. But has not impacted significantly on incidence of P.S. Infection.
Authors and Affiliations
Satish Kumar, Tripurari Pandey, Sanjeev Kumar Pathak
Keywords
Related Articles
- EP ID EP556263
- DOI 10.18410/jebmh/2018/296
- Views 74
- Downloads 0
FNAC SPECTRUM OF HEAD AND NECK LESIONS - A RETROSPECTIVE STUDY
BACKGROUND Head and neck lesions are very commonly encountered superficial lump in cytopathology department and swellings in this region rarely go unnoticed. FNAC (fine needle aspiration cytology) is of great value in ea...
FUNDUS CHANGES IN HIGH AXIAL MYOPIA AND THEIR CORRELATION WITH THE AXIAL LENGTH OF GLOBE
BACKGROUND Myopia is a common optical aberration. Physiological myopia, by far the most prevalent, is less than -6D in magnitude and is considered a normal biological variation. Eyes that have errors greater than -6D are...
PSEUDOMONAS AERUGINOSA IN CHRONIC SUPPURATIVE OTITIS MEDIA- A DRUGSENSITIVITY STUDY
BACKGROUND Chronic suppurative otitis media is one among the commonest ENT disease seen in day-to-day practice. It is seen mainly among low socioeconomic class. MATERIALS AND METHODS The present study was conducted in th...
A COMPARATIVE STUDY OF THE EFFECT OF ADDITION OF MAGNESIUM SULPHATE TO HYPERBARIC BUPIVACAINE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERIES
BACKGROUND Magnesium is a noncompetitive blocker of N-Methyl-D-Aspartate (NMDA) receptor with anti-nociceptive effects. Recently it has gained popularity as an adjuvant in spinal anaesthesia. The addition of intrathecal...
COMPARATIVE STUDY OF EFFICACY OF FERROUS SULPHATE AND CARBONYL IRON IN ANEMIA OF ANTENATAL WOMEN
Iron deficiency anemia is the most common and important public health problem all over the world in the risk group of antenatal women. Research is going on to improve the iron status of the pregnant women with different...