Frequency of port site wound infection after Gall Bladder removal with or without retrieval bag in Laparoscopic Cholecystectomy

Rehman, Habib ur; Siddiqa, Maryam; Munam, Attah Ul; Khan, Shamin

doi:10.5455/jpma.300311

Cited by 7 publications

(7 citation statements)

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“…One systematic review (La Regina et al ) and 1 RCT (Rehman et al) compared surgical site infections with and without use of a gallbladder retrieval bag [ 72 , 77 ]. La Regina observed no difference in incidence of wound infection rate between the retrieval bag (4%) and direct retrieval groups (6%) (risk ratio [RR] 0.82, 95% CI 0.41–1.63), although the incidence of surgical site infection in the included studies was higher than the Centers for Disease Control and Prevention's acceptable rate (1.6%–3.2%), which may result from utilizing different criteria.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based surgery for laparoscopic cholecystectomy

Fisher¹,

Bessoff²,

Khan³

et al. 2022

Surgery Open Science

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Section: Resultsmentioning

confidence: 99%

Evidence-based surgery for laparoscopic cholecystectomy

Fisher¹,

Bessoff²,

Khan³

et al. 2022

Surgery Open Science

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“…This randomized controlled trial was conducted in a tertiary care Hospital in Peshawar from 1 st August, 2022, to 31 st January, 2023. The sample size was 130 (50 patients in group A and 80 patients in group B) using percent of unexposed with outcome 1% and percent of exposed with outcome as 14% 19 ,95% confidence interval, and 80% power of the test. Non-probability consecutive sampling technique was used.…”

Section: Methodsmentioning

confidence: 99%

The Efficacy of Using a Sterile Glove Technique for Retrieval of the Gall Bladder Through the Epigastric Port in Preventing Post-Operative Infections During Laparoscopic Cholecystectomy

Ahmad¹,

Ullah²,

Hamza³

et al. 2023

PJMHS

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Objectives: To compare the efficacy of using sterile surgical gloves to retrieve the gall bladder through the epigastric port in laparoscopic cholecystectomy as compared to the direct retrieval technique in terms of surgical port site infections. Study Design: Randomized Controlled Trial Setting: Department of Surgery, Khyber Teaching Hospital, Peshawar. Duration: From 1st August, 2022, to 31st January, 2023. Methodology: After attaining approval from the Hospital ethical committee all patients meeting the inclusion criteria were included in the study. The patients were allocated in two groups through blocked randomization: Group A (use of sterile glove for extraction) and Group B (direct removal of gall bladder). Results were analyzed on Statistical Package for Social Sciences (SPSS) Version 23 and depicted in the form of description and statistical tables. Results: The mean age was 39.64 years ± 3.22 in group A and 38.25 years ±13.3 in group B and most patients were females in both groups, group A (n=40, 80%) and group B (n= 69, 86.3%).In group, A ,11 patients were diabetic (22%) and 5(10%) of the patients developedPSI at the epigastric port, 3(27.3%) in diabetics and 2(5.1%) in non-diabetics, p-value 0.031. In group B, 19 patients were diabetic (23.8%) and10 (12.5%) patients developed PSI, seen on 7th day follow up, 8 in diabetics (80%) and 2 non-diabetics(20%), p-value <0.01. The correlation between diabetes mellites and PSIs showed significant correlation p-value <0. 001.However,no significant correlation was seen between both groups in terms of PSIs, p-value 0.530. Conclusion: Even though it was observed that using retrieval bags relatively decreases the incidence of port site infections in laparoscopic cholecystectomy, the percentage is not notable enough to justify for its impact on operative time. Keywords: Laparoscopic Cholecystectomy, Epigastric Port,Glove Technique, Direct Removal, Port Site Infections.

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“…1 Incidence of cholelithiasis and cholecystectomy is greater among females. 2,3 Laparoscopic cholecystectomy offers less wound access trauma/pain, less disfigurement, reduced operating times and length of hospital stay. 4 Pneumoperitoneum created during laparoscopic cholecystectomy results in the release of catecholamines and vasopressin which ultimately increases the blood pressure, heart rate and systemic vascular resistance.…”

Section: Introductionmentioning

confidence: 99%

Effects of IV Magnesium Sulphate on Hemodynamic Response To Pneumoperitoneum In Laparoscopic Cholecyctectomy; A Randomized Control Trial

Zareen

Gardazi

Anwar

et al. 2021

Ann Pak Inst Med Sci

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Objective: To determine the effect of IV Magnesium sulphate (MgSO4) in attenuating the hemodynamic effects of pneumoperitoneum. Methodology: Our single blind randomized control trial (based on computer generated randomize allocation) was carried out at Holy Family Hospital and included 60 patients, not allergic to MgSO4 and belonging to the American Society of Anesthesiology (class 1 and 2. Patients were divided into two groups with Intervention group (M group) receiving 30 mg/kg of MgSO4 and the control group (C group) receiving a placebo. Hemodynamic parameters were then measured at different points of time during surgery. Data was collected and analyzed by using statistical package for the social sciences (SPSS) version 25.0. Results: Out of 60 patients selected 86.7% were females while 13.3% were males. Mean age was 35.78(SD=8.26). As compared to group, patients belonging to group had significantly lower heart rate, systolic and diastolic blood pressure at 15 minutes, after release of pneumoperitoneum and at extubation with p values less than 0.05. Conclusion: Our study concludes that 30 mg/kg of MgSO4 given as a bolus just before creation of pneumoperitoneum protect against its possible adverse hemodynamic effects.

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Frequency of port site wound infection after Gall Bladder removal with or without retrieval bag in Laparoscopic Cholecystectomy

Cited by 7 publications

References 0 publications

Evidence-based surgery for laparoscopic cholecystectomy

Evidence-based surgery for laparoscopic cholecystectomy

The Efficacy of Using a Sterile Glove Technique for Retrieval of the Gall Bladder Through the Epigastric Port in Preventing Post-Operative Infections During Laparoscopic Cholecystectomy

Effects of IV Magnesium Sulphate on Hemodynamic Response To Pneumoperitoneum In Laparoscopic Cholecyctectomy; A Randomized Control Trial

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