PROLONGED POST – OPERATIVE HOSPITALIZATION PREDICTS HIGH BURDEN OF UMBLICAL PORT SITE INFECTION IN LAPAROSCOPIC CHOLECYSTECTOMY.

Abstract

Background; Laparoscopic cholecystectomy is one of the commonly performed surgical procedure these days which is associated with significant reduction of morbidities and mortality. This study was conducted to ascertain port site infection after laparoscopic cholecystectomy without using gloves. Objective; To determine frequency of port site infection (PSI) in patients undergoing laparoscopic cholecystectomy when gallbladder is removed without using gloves. Material and Methods; A total of 254 patients undergoing laparoscpic cholecystectomy were enrolled in our study. The laparoscopic cholecystectomy was performed and after removal of gall bladder without endogloves the laparoscope was moved to the epigastric port, and a large-tooth grasping forceps were inserted through the umbilical port to grasp the gallbladder at the area of the cystic duct and were followed for wound infection. Results; Of these 254 study cases, 98 (36.6 %) were male patients while 156 (61.4 %) were female patients. Mean age of our study cases was 49.58 ± 6.32 years. Of these 254 study cases, 89 (35.0 %) belonged to rural areas and 165 (65.0 %) belonged to urban areas. Diabetes was present in 68 (26.8 %) of our study cases. Hypertension was present in 126 (49.6 %) of our study cases.  Mean duration of surgery was 55.28 ± 15.23 minutes and 185 (72.8 %) had duration of procedure up to 1 hour. Mean hospital stay was 5.22 ± 2.18 days and 204 (80.3%) had hospital stay up to 6 days. Umblical port site infection (PSI) was noted in 20 (7.9%). Conclusion; High frequency of umblical port site infection was noted in our study among patients undergoing laparoscopic cholecystectomy without using gloves, so use of gloves is safe, cost effective and reduces related morbidities. Port site infection was significantly associated with increasing, gender, diabetes, residential status, prolonged duration of surgery and duration of hospitalization.

Keywords; Umblical Port site infection, gloves, Laparoscopic cholecystectomy

DOI: 10.7176/JMPB/54-13

Publication date: April 30^th 2019