Incidence of Port Site Infection in Laparoscopic Cholecystectomy

Abstract

Introduction:  Surgical infections are physically, socially, and financially stressful. It prolongs the patient's stay in the hospital and harms the hospital and the attending surgeon. For gallstone disorders, laparoscopic cholecystectomy is considered the gold standard of care.

Methods and materials: This study was a prospective observational type. 100 patients of age group above 20 years of both sexes, were admitted to the department of surgery, Dhaka Medical College Hospital. Laparoscopic cholecystectomy was done in all cases. Data was processed and analyzed with the help of the computer program SPSS and Microsoft Excel.

Results: In this study, the maximum number of patients (44%) was between 30-39 years of age groups, with a mean value of 42.7 ± 6.19 years. Intraoperative complications levels, 12 patients developed hemorrhage from primary port site, followed by 13 patients developed bradycardia. Spillage of bile and/or gallstones generally occurs in 9.0% of patients, because of gallbladder perforation. It is evident that, among 12 patients who developed hemorrhage from the primary port site, a total of 5 patients developed purulent discharge from the site, redness or heat was found in 4 patients, and tenderness and localized swelling were found in a total of 3 patients.

Conclusion: Port site infection is not uncommon after laparoscopic cholecystectomy. In this study incidence of port site infection was 6.0%. The best way to avoid complications from laparoscopic surgery is by meticulous handling of tissue and careful dissection of the Gallbladder.