Port Site Infection and Associated Factors In Laparoscopic Cholecystectomy

Jehangir Ali, Sughra Parveen, Mazhar Iqbal, Abdul Waheed, Kanwal Soomro, Ayesha Mehboob

Abstract

Objective

To find out the frequency of port site infection and associated factors in laparoscopic cholecystectomy.

Study design

Cross sectional study.

Place & Duration of study

Department of Surgery, Jinnah Postgraduate Medical Centre (JPMC) Karachi, from October 2020 to April 2021.

Methodology

All patients between 30 - 60 years of age with the diagnosis of cholelithiasis, booked for elective laparoscopic cholecystectomy were included. Port site infection was labeled as presence of any two or more of the features like redness on naked eye examination, purulent discharge, fever with core temperature equal to or greater than (38o or 100.4o F), tenderness on palpation, serosanguinous discharge, and/or pain at port site with Visual Analogue Scale (VAS) for pain intensity more than 7. 

Results

Mean age of the patients was 50.54±9.98 year. There were 115 (67.3%) female and 56 (32.7%) male patients. Port site infection was found in 9 (5.3%) patients. A significant difference of port site infection was found with gender (p=0.026) and number of antibiotic doses administered (p=0.018).

Conclusion

A high port site infection rate was observed. There was significant association with gender and antibiotic doses used in the study group.

Key words

Port site infection, Laparoscopic cholecystectomy, Cholecystitis.