European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Laparoscopic cholecystectomy is the gold standard treatment for
symptomatic gallstones. Generally, most of the surgical procedures may end with
complications. One of these complications is surgical site infection (SSI).
Materials and Methods: A descriptive study on 250 Patients was conducted by the
Department of General Surgery of Narayan Medical College & Hospital, Jamuhar,
Bihar. The study duration Was from March 2019 to February 2020. Ethical permission
was obtained from the Institutional Ethics Committee and informed written consent
forms were obtained from each patient before participation. All the patients were given
broad spectrum antibiotics (Ceftriaxone vial 1 g twice daily by intravenous infusion) at
the of induction of an aesthesia, in addition with Metronidazole 500 mg three times
daily intravenously for 24 hours postoperatively, and for period of five days for those
with acute cholecystitis. All data were collected in preformed format and statistical
analysis was done.
Results: The age range of the study participants was 24 to 67 years with a mean age of
44.6 years. Majority (221/250, 88.4%) of the patients were female. Spillage of bile,
stones or pus is an important predictor of infection, such incidence was reported with 19
(7.6%) cases. Port site infection (PSI) was reported in 9 patients, which constituted
3.6% of the study population. Out of these cases, 2 (22.2%) cases were deep seated and
rests were superficial infection.
Conclusion: Special consideration should be taken in chronic deep surgical site
infection. Most of the PSIs are superficial and more common in males.