FREQUENCY OF PORT SITE INFECTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

Authors

  • S FARIS Department of General Surgery, Mardan Medical Complex Teaching Hospital MTI Mardan, Pakistan
  • MH SAFI Department of General Surgery, Mardan Medical Complex Teaching Hospital MTI Mardan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.877

Keywords:

Cholecystectomy, Gallstones, Laparoscopy, Port Site Infection, Risk Factors, Surgical Site Infection

Abstract

Laparoscopic cholecystectomy is a common surgical procedure for the treatment of gallstones. Although considered minimally invasive, port site infections (PSI) remain a concern, potentially impacting patient outcomes and recovery times. Understanding the frequency and risk factors associated with PSI is essential for improving surgical practices and patient safety. Objective: To assess the frequency of port site infection in patients undergoing laparoscopic cholecystectomy. Methods: A cross-sectional study was conducted in the surgery department from January 2, 2024, to April 2, 2024. The study enrolled 120 patients presenting for laparoscopic cholecystectomy. The mean age of the patients was 34.30 ± 9.57 years, and the mean BMI was 25.32 ± 2.21 kg/m². The frequency of PSI was determined, and its association with BMI was analysed using statistical methods, with a significance level set at P < 0.05. Results: The PSI frequency was 6.7% (8 out of 120 patients). There was a notable association between increasing BMI and the occurrence of PSI (P = 0.005). Conclusion: The frequency of PSI in patients undergoing laparoscopic cholecystectomy in this study was 6.7%, suggesting that the procedure is relatively safe for gallbladder removal. Higher BMI was significantly associated with an increased risk of PSI, indicating the need for targeted strategies to mitigate this risk in patients with elevated BMI.

Downloads

Download data is not yet available.

References

Basunbul LI, Alhazmi LSS, Almughamisi SA, Aljuaid NM, Rizk H, Moshref R. Recent technical developments in the field of laparoscopic surgery: a literature review. Cureus. 2022;14(2).

Gupta V, Jain G. Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy. World journal of gastrointestinal surgery. 2019;11(2):62.

Alexander HC, Bartlett AS, Wells CI, Hannam JA, Moore MR, Poole GH, et al. Reporting of complications after laparoscopic cholecystectomy: a systematic review. HPB. 2018;20(9):786-94.

Chattopadhyay K, Das R. Laparoscopic and open cholecystectomy: a comparative study. International J Surg Sci. 2020;4(1):427-30.

Kurtulus I, Culcu OD, Degerli MS. Which is more effective: laparoscopic or open partial cholecystectomy? Journal of Laparoendoscopic & Advanced Surgical Techniques. 2022;32(5):476-84.

Warchałowski Ł, Łuszczki E, Bartosiewicz A, Dereń K, Warchałowska M, Oleksy Ł, et al. The analysis of risk factors in the conversion from laparoscopic to open cholecystectomy. International journal of environmental research and public health. 2020;17(20):7571.

Seidelman J, Anderson DJ. Surgical site infections. Infectious Disease Clinics. 2021;35(4):901-29.

Onyekwelu I, Yakkanti R, Protzer L, Pinkston CM, Tucker C, Seligson D. Surgical wound classification and surgical site infections in the orthopaedic patient. JAAOS Global Research & Reviews. 2017;1(3):e022.

Lunevicius R. Cholecystectomy: advances and issues. MDPI; 2022. p. 3534.

Al-Mulhim AA. Male gender is not a risk factor for the outcome of laparoscopic cholecystectomy: a single surgeon experience. Saudi Journal of Gastroenterology. 2008;14(2):73-9.

Jan WA, Ali IS, Shah NA, Ghani A, Khan M, Khan AS. The frequency of port-site infection in laparoscopic cholecystectomies. Journal of Postgraduate Medical Institute. 2008;22(1).

Sasmal PK, Mishra TS, Rath S, Meher S, Mohapatra D. Port site infection in laparoscopic surgery: A review of its management. World Journal of Clinical Cases: WJCC. 2015;3(10):864.

Russell CF, Edis AJ. Surgery for primary hyperparathyroidism: experience with 500 consecutive cases and evaluation of the role of surgery in the asymptomatic patient. Journal of British Surgery. 1982;69(5):244-7.

Narayanswamy T, Prajwal R. Is endobag effective preventing port site infections in laparoscopic cholecystectomy: Our experience. Int J Surg Sci. 2019;3(4):316-8.

Memon RJ. Port-site related Complications and their Management in Patients undergoing Laparoscopic Cholecystectomy. Journal of Islamabad Medical & Dental College. 2018;7(3):208-12.

Hamzaoglu I, Baca B, Böler DE, Polat E, Özer Y. Is umbilical flora responsible for wound infection after laparoscopic surgery? Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2004;14(5):263-7.

Shaikh B, Baloch I, Shah AA, Mirani AS, Lund PL, Valbani J, et al. Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port. The Professional Medical Journal. 2021;28(03):277-81.

Downloads

Published

2024-06-05

How to Cite

FARIS, S., & SAFI, M. (2024). FREQUENCY OF PORT SITE INFECTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY. Biological and Clinical Sciences Research Journal, 2024(1), 877. https://doi.org/10.54112/bcsrj.v2024i1.877