Effect of bag extraction to prevent wound infection on umbilical port site wound on elective laparoscopic cholecystectomy: a prospective randomised clinical trial

Abstract

The determinant of wound infection in elective laparoscopic cholecystectomy is not the direct contact of the gallbladder with the wound; therefore, bag extraction is not necessary.

Use of retrieval bag in the prevention of wound infection in elective laparoscopic cholecystectomy: is it evidence-based? A meta-analysis

“…3 ). Concerning sensitivity analysis the estimated pooled risk ratio ranged from 0.72 to 0.96 omitting Comajuncosas et al [ 17 ] or Majid et al [ 18 ] studies, respectively, both not statistically significant. Harbord test did not reveal the occurrence of small-study effect ( p = 0.892) and the funnel-plot showed no noteworthy pattern (Fig.…”

“…The eligible studies were 2 randomized trials [ 16 , 17 ] and a multicenter prospective study [ 18 ]. Harling et al [ 16 ] compared groups receiving a dose of cefuroxime (750 mg i.v.)…”

“…SSI was defined as pus discharging from the wound with signs of inflammation. Comajuncosas et al [ 17 ] randomly assigned patients to have the gallbladder extracted with a retrieval bag or not. SSI was a defined as a positive culture and/or a signs of infection.…”

“…2 . According to the Study Quality Assessment of Controlled Intervention Studies NHLBI [ 11 ], the study of Harling et al [ 16 ] and Comajuncosas et al [ 17 ] were categorized “good” and the study of Majid et al [ 18 ] was categorized “fair”. According to the GRADE approach, due to sparse data (lack of directness rated down by 1) and limitations in studies quality (lack of blinding rated down by 1), the overall quality of evidence of this meta-analysis was judged “low”.…”

Surgical practices during cholecystectomy in Algeria: results of a survey

“…10 Present survey revealed that only 43% of surgeons performed gallbladder's extraction through a "bag" protecting extraction device, and 12% does so without a bag, currently there is no clear recommendation regarding the risk of galls stones swarming, surgical wound infection or tumour dissemination in unrecognized gallbladder cancer. 4,11,12 The macroscopic examination of the gallbladder at the end of CH and the sending of the product for an histological study is an absolute necessity, since more than 37% of gallbladder cancers are not suspicious even after examining the inside of the operative part. 13 This notion seems to be acquired by surgeons who participated in this survey, all surgeons carry out a histpathological study, even those who do not have a laboratory in their health structure 64.8% (n=79).…”