FREQUENCY AND PREVENTION OF LAPAROSCOPIC PORT SITE INFECTION
AbstractBackground: The present study was conducted to evaluate the usefulness and safety of the nonpowder surgical glove for extraction of the gallbladder in laparoscopic cholecystectomy. Methods:The study was carried out in Capital Hospital Islamabad and in a private hospital. The duration ofstudy was from March 2009 to March 2012. This was an observational study carried out in 492patients who underwent laparoscopic cholecystectomy using the surgical glove for extraction of thegallbladder and compared with the conventional method of gall bladder removal in two hospitalswere analyzed. The operative findings, port site infection and co morbid conditions were evaluated.Results: Postoperative wound infection was found in 27 (5.48%) of 492 cases. Umbilical portinfection was found in 26 (5.28%) of cases in which gall bladder was removed without endoglovesand only one case (0.2%) had infection when gall bladder was removed with the endogloves. Woundinfection was more in acute cholecystitis (25.9%) and empyema of Gall Bladder (44.4%). Amongthe co morbid conditions, diabetes mellitus has got higher frequency of wound infection (44%).Conclusion: The use of the surgical glove for extraction of the gallbladder is safe, cheap, simple andpotentially reduces significant morbidity. Its routine use at laparoscopic cholecystectomy ismandatory in all cases.Keyword: laparoscopic cholecystectomy; non-powder surgical gloves; retrieval bag; wound infection
McSherry CK. Cholecystectomy: the gold standard. Am J Surg
Brockmann JG, Kocher T, Senninger NJ, Schurmann GM.
Complications due to gall stones lost during Laparosocpic
Cholecystectomy:An analysis of incidence,clinical course and
management. Surg Endosc 2002;16:1226–32
Sathesh Kumar T, Saklani AP, Vinayagam R, Blackett RL.
Spilled gallstones during laparoscopic cholecystectomy:a review
of literature. Postgard Med J 2004;80:77–9.
Iqbal MZ. Incidence of postsurgical infections in orthopaedics
(disseratation) Karachi: College of Physicians and Surgeons of
Targarona EM, Balague C, Knook MM, Trias M. Laparoscopic
surgery and surgical infections. Br J Surg 2000;87:536–44.
Russell RCG, Williams NS, Bulstrode CJK (Eds). Wound
infections. Bailey and Love’s Short Practice of Surgery, 24th ed.
London: Arnold; 2004. p. 129
Muhe E. Die erste colecystektomie durch das lparoskop.
Langenbecks Arch Klin Chir 1986;369:804.
Hackan DJ, Rotstein OD. Host response to laparoscopic surgery:
mechanisms and clinical correlates. Can J Surg 1998;41:103–11.
Mir IS, Ahmad M, Ahad B. Establishing pneumoperitoneum
safely for laparoscopic surgeries. JK-Practitioner
Läuffer JM, Krahenbuhl L, Baer HU, Mettler M, Buchler MW.
Clinical manifestations of lost gallstones after laparoscopic
cholecystectomy: a case report with review of the literature.
Surg Laparosc Endosc 1997;7:103–12.
Raj PK. Katris F. Linderman CG. Remine SG. An inexpensive
Laparoscopic Specimen Retreival Bag. Surg Endose 1998;12:83