COMPARISON OF FREQUENCY OF WOUND INFECTION: OPEN VS LAPAROSCOPIC CHOLECYSTECTOMY
AbstractBackground: The objective of this quasi experimental study was to compare the frequency ofwound infection between open cholecystectomy (OC) and laparoscopic cholecystectomy (LC)conducted in Surgical Unit IV, Jinnah Hospital Lahore from June 2005 to January 2006.Methods: 100 patients undergoing elective cholecystectomy for symptomatic gallstones werestudied. The patients were allocated in the two groups of 50 each by simple random technique.Group-I underwent OC and Group-II underwent LC. The patients were then followed up for fourweeks to pick up signs of wound infection. In case of infection, the degree of infection and theremedial measures done were documented and the results analysed. Results: In LC group therewas only one case of Class- II wound infection i.e. 2%. In case of OC there were three cases ofwound infection i.e. 6%. Out of these, two were of Class-III and one of Class-II. Conclusion:While there was no wound infection in cases of chronic Cholecystitis in both groups, thefrequency of wound infection was three times as common in OC as compared to LC in AcuteCholecystitis / Empyema.Key words: Open cholecystectomy (OC), Laparoscopic Cholecystectomy (LC), Wound infection.
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