Port Site Infection in Laparoscopic Cholecystectomy in Simple Versus Glove Technique

Muhammad Shahzad, DOC, Ms Javid, Sj Shah, Mf Murad, Q Ali, T Nawaz, N Zia, A Zafar

1 – Holy Family Hospital, Rawalpindi, Pakistan; 2 – Rawalpindi Medical College, Rawalpindi, Pakistan

Introduction: The milestone which the minimal invasive surgery achieved since its birth is that the laparoscopic Cholecystectomy becomes gold standard. Even with this some complication still are associated and some intervention always is going on to counter balance these. One of the complications is the port site infection at that port from which the gall bladder is delivered. In underdeveloped countries where the disposable bags added burden to economy, a simple technique of glove is used to prevent this complication.

Methods and Materials: This study is conducted in Surgery department, Holy Family hospital, Rawalpindi, Pakistan. A prospectively cohort study is conducted on 130 patients. All the patients included in this study have preoperative diagnosis of cholelithiasis and with no co-morbidities.

Results: Out of 130 patients, in group B gall bladder is removed using gloves technique while in group A are removed simply. The mean age in this study is 39.5 years (range 26-53years) with female and male ratio of 1:3.75. These wound infection in group B is 3 percent (incidence of 0.031) but in group A 35percent (incidence of 0.354) having the wound site infection. The relative risk of developing port site infection in simple delivering of the gall bladder is 12 times more than using glove technique.

Conclusion: The port site infection is prevented if glove is used for the removal of the gall bladder.


Session: Poster Presentation

Program Number: P542

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