Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy

Introduction: Iatrogenic gallbladder perforation with bile spillage (BS) during laparoscopic cholecystectomy (LC) occurs frequently but its impact to the patient can range from port site surgical site infection (SSI), bowel obstruction, intraperitoneal abscess to none. We aim to examine the prevale...

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Autor principal:	Anuj Parajuli
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Bile Spillage Gall Bladder Perforation Laparoscopic Cholecystectomy Surgical site infection Surgery RD1-811
Acceso en línea:	https://doaj.org/article/51cd98ee2bf34720ba62e1b25d14ff80
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spelling	oai:doaj.org-article:51cd98ee2bf34720ba62e1b25d14ff802021-12-05T19:15:37ZPrevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy10.3126/jssn.v23i2.358311815-39842392-4772https://doaj.org/article/51cd98ee2bf34720ba62e1b25d14ff802020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/35831https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Iatrogenic gallbladder perforation with bile spillage (BS) during laparoscopic cholecystectomy (LC) occurs frequently but its impact to the patient can range from port site surgical site infection (SSI), bowel obstruction, intraperitoneal abscess to none. We aim to examine the prevalence of port site SSI in patients with bile spillage during laparoscopic cholecystectomy. Methods: A prospective descriptive cross-sectional study was undertaken which included consecutive patients who underwent LC over a period of six months and had intraoperative bile spillage. Patients were noted and evaluated for the presence of port site SSI. Patients were assessed clinically during hospitalization and on follow-up at five and even days post operatively. Bile spillage (BS) as a possible risk factor for port site surgical site infection (SSI) was analyzed. Results: Out of 318 patients, there were 229 (72%) female and 89(28%) male patients with a mean age of 46 ± 11.7 years. BS occurred in 66 (20.8%) patients. Port site SSI was present in 14 (4.4%) patients. SSI among patients with bile spillage was present in 8 (12.1%) and among patients without BS was 6 (2.3%). Conclusion: The present study reveals that iatrogenic gallbladder perforation with BS has higher prevalence of port site SSI. Anuj ParajuliSociety of Surgeons of NepalarticleBile SpillageGall Bladder PerforationLaparoscopic CholecystectomySurgical site infectionSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bile Spillage Gall Bladder Perforation Laparoscopic Cholecystectomy Surgical site infection Surgery RD1-811
spellingShingle	Bile Spillage Gall Bladder Perforation Laparoscopic Cholecystectomy Surgical site infection Surgery RD1-811 Anuj Parajuli Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
description	Introduction: Iatrogenic gallbladder perforation with bile spillage (BS) during laparoscopic cholecystectomy (LC) occurs frequently but its impact to the patient can range from port site surgical site infection (SSI), bowel obstruction, intraperitoneal abscess to none. We aim to examine the prevalence of port site SSI in patients with bile spillage during laparoscopic cholecystectomy. Methods: A prospective descriptive cross-sectional study was undertaken which included consecutive patients who underwent LC over a period of six months and had intraoperative bile spillage. Patients were noted and evaluated for the presence of port site SSI. Patients were assessed clinically during hospitalization and on follow-up at five and even days post operatively. Bile spillage (BS) as a possible risk factor for port site surgical site infection (SSI) was analyzed. Results: Out of 318 patients, there were 229 (72%) female and 89(28%) male patients with a mean age of 46 ± 11.7 years. BS occurred in 66 (20.8%) patients. Port site SSI was present in 14 (4.4%) patients. SSI among patients with bile spillage was present in 8 (12.1%) and among patients without BS was 6 (2.3%). Conclusion: The present study reveals that iatrogenic gallbladder perforation with BS has higher prevalence of port site SSI.
format	article
author	Anuj Parajuli
author_facet	Anuj Parajuli
author_sort	Anuj Parajuli
title	Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
title_short	Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
title_full	Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
title_fullStr	Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
title_full_unstemmed	Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
title_sort	prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/51cd98ee2bf34720ba62e1b25d14ff80
work_keys_str_mv	AT anujparajuli prevalenceofsurgicalsiteinfectioninpatientwithbilespillageduringlaparoscopiccholecystectomy
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Prevalence of surgical site infection in patient with bile spillage during laparoscopic cholecystectomy

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