@article{Jan_Ali_Shah_Ghani_Khan_Khan_2011, title={THE FREQUENCY OF PORT-SITE INFECTION IN LAPAROSCOPIC CHOLECYSTECTOMIES}, volume={22}, url={https://jpmi.org.pk/index.php/jpmi/article/view/251}, abstractNote={<span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Objective: To study the frequency of port-site infection (PSI) in cases of laparoscopic cholecystectomies</p><p>reusing disposable ports.</p><p>Material and Methods: Record of all patients undergoing laparoscopic cholecystectomy in Surgical A</p><p>Unit; LRH between 2007-1994 was retrospectively analyzed for PSI. Out of 300 cases, 6 cases were</p><p>converted to open cholecystectomy and excluded from the study. All patients were admitted a day before</p><p>surgery and were given 3 shots of ceftriaxone 1gm (Inj. Rocephin, Roche, UK); one before and two after</p><p>the surgery. The patients were monitored for port site using standard National Nosocomial Infections</p><p>Surveillance (NNIS) System definitions given by the Centers for Disease Control and Prevention (CDC).</p><p>All infected wounds were treated by local washes and oral antibiotics.</p><p>Results: Out of 294 cases, 17 (5.78%) developed PSI. Out of these 17 infected cases 12 (70.5%) had</p><p>superficial infection while 5 (29.4%) had deep surgical site infection (SSI). Epigastric port-site was</p><p>infected in 15 (88.2%) cases followed by the umbilical port-site in 2 (11.8%) cases. Two (11.8%) patients</p><p>with port-site infection had operation lasting < 1 hour while in 15 (88.2%) cases the surgery lasted for</p><p>>1hr. Main operative findings were acute cholecystitis in 7 (41.1%) patients, empyema gall bladder in 4</p><p>(23.5%), adhesions in 3 (17.6%).</p><p>Conclusion: Laparoscopic cholecystectomy is associated with a low risk of PSI, which in most cases is</p><p>only superficial and responds to local measures. It is most commonly the trocar site of gall bladder</p><p>extraction that is infected.</p></span></span>}, number={1}, journal={Journal of Postgraduate Medical Institute}, author={Jan, Waqar Alam and Ali, Irum Sabir and Shah, Nadeem Ali and Ghani, Azra and Khan, Mumtaz and Khan, Abdus Samad}, year={2011}, month={Aug.} }