Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

Authors

  • Bushra Shaikh GMMMC Sukkur.
  • Imamuddin Baloch GMMMC Sukkur.
  • Azhar Ali Shah GMMMC Sukkur.
  • Abdul Sami Mirani GMMMC Sukkur.
  • Parkash Lal Lund GMMMC Sukkur.
  • Jagdeesh Valbani GMMMC Sukkur.
  • Nosheen Azhar GMMMC Sukkur.
  • Saima Athar Liaqat National Hospital & Medical College, Karachi.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.03.6309

Keywords:

Epigastric Port, Laparoscopic Cholecystectomy, Port Site Wound Infection, Umbilical Port

Abstract

Objective: To compare the frequency of port site wound infection following gall bladder removal through umbilical and epigastric port in laparoscopic cholecystectomy. Study Design: Randomized Control Trial. Setting: Surgical Unit 2, Ghulam Muhammad Mahar Medical College, hospital Sukkur. Period: 1st November 2019 to 30th October 2020. Material & Methods: All cases who underwent four port laparoscopic cholecystectomy were enrolled in two groups. All procedures were performed under general anesthesia. As the last event of surgery gall bladder was retrieved in a glove bag through umbilical port in group A and through epigastric port in group B, both under direct camera vision. Wound infection was considered if there was 3 to 5 grade of wound according to Southampton wound grading system (Figure-1) on 5th postoperative day. All demographics and outcome variables were recorded. Results: Age ranged from 20 to 60 years with mean age of 38.875±8.11 years, BMI 29.973±5.12 Kg/m2, duration of surgery 50.656±8.41 mins and Southampton score was 1.044±1.07 in Group A and mean age of 38.560±6.23 years, BMI 27.437±5.04 Kg/m2, duration of surgery 48.920±8.67 mins and Southampton score was 0.856±0.92 in Group B. In group A, 18 (5.7%)patients developed port site wound infection in contrast to 5 (1.6%) patients in group B (P= 0.006). Conclusion: We conclude that epigastric port retrieval of gall bladder following laparoscopic cholecystectomy results in less port site infection.

Author Biographies

Bushra Shaikh, GMMMC Sukkur.

MBBS, FCPS

Assistant Professor Surgery

Imamuddin Baloch, GMMMC Sukkur.

MBBS, FCPS

Associate Professor Surgery

 

Azhar Ali Shah, GMMMC Sukkur.

MBBS, FCPS

Associate Professor Surgery 

 

Abdul Sami Mirani, GMMMC Sukkur.

MBBS, FCPS

Assistant Professor Surgery

 

Parkash Lal Lund, GMMMC Sukkur.

MBBS, FCPS

Consultant Surgeon

 

Jagdeesh Valbani, GMMMC Sukkur.

MBBS, MS

Lecturer Anatomy

Nosheen Azhar, GMMMC Sukkur.

MBBS, DMRD

Consultant Radiologist

 

Saima Athar, Liaqat National Hospital & Medical College, Karachi.

MBBS, FCPS

Associate Professor Anatomy

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Published

2021-03-10