The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy
Introduction: Laparoscopic cholecystectomy (LC) has a low risk for postoperative infective complications. The incidence of iatrogenic gall bladder perforation leading to spillage of bile and stones seems to be higher ranging between 5 and 40%. Studies have also shown an increased incidence of compl...
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Society of Surgeons of Nepal
2022-08-01
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| Series: | Journal of Society of Surgeons of Nepal |
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| Online Access: | https://www.nepjol.info/index.php/JSSN/article/view/47717 |
| _version_ | 1811307556133404672 |
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| author | Sushil Dhungel Rupesh Mukhiya Kamal Koirala Bibechan Thapa Mahipendra Tiwari |
| author_facet | Sushil Dhungel Rupesh Mukhiya Kamal Koirala Bibechan Thapa Mahipendra Tiwari |
| author_sort | Sushil Dhungel |
| collection | DOAJ |
| description |
Introduction: Laparoscopic cholecystectomy (LC) has a low risk for postoperative infective complications. The incidence of iatrogenic gall bladder perforation leading to spillage of bile and stones seems to be higher ranging between 5 and 40%. Studies have also shown an increased incidence of complications like surgical site infection (SSIs) after bile spillage. This study aims to assess the prevalence and outcome in bile spillage during LC.
Methods: A cross-sectional study was conducted at KIST Medical College and Teaching Hospital. All the patients who underwent elective LC from February 2018 to March 2020 were studied. A total of 187 patients were enrolled. The required data was entered in the proforma by reviewing the patient’s medical records. The data was entered and analyzed using the SPSS version 26. Descriptive statistics and chi-square test were carried out.
Results: The prevalence of bile spillage was 29.4%. The prevalence of SSIs among the bile spillage and non-bile spillage groups was 10.9% and 8.3% respectively. There was no significant association between SSIs and bile spillages (p value 0.584). There is no significant association post operative use of antibiotics and SSIs among patients with bile spillage (p value = 0.163).
Conclusion: The prevalence of bile spillage during LC was higher when compared to other national and international studies. However, the rate of SSIs among bile spillage was lower. Bile spillage during LC doesn’t cause SSIs post-operatively and use of postoperative antibiotics among bile spillage patients doesn’t prevent SSI during elective LC thus use of antibiotics in such cases should be limited.
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| first_indexed | 2024-04-13T09:06:24Z |
| format | Article |
| id | doaj.art-1a7963fb349b4321a1e4be2505d45788 |
| institution | Directory Open Access Journal |
| issn | 1815-3984 2392-4772 |
| language | English |
| last_indexed | 2024-04-13T09:06:24Z |
| publishDate | 2022-08-01 |
| publisher | Society of Surgeons of Nepal |
| record_format | Article |
| series | Journal of Society of Surgeons of Nepal |
| spelling | doaj.art-1a7963fb349b4321a1e4be2505d457882022-12-22T02:52:58ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722022-08-0125110.3126/jssn.v25i1.47717The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic CholecystectomySushil Dhungel0Rupesh Mukhiya1Kamal Koirala2Bibechan Thapa3Mahipendra Tiwari4KIST Medical College Teaching Hospital, Imadol, LalitpurKIST Medical College Teaching Hospital, Imadol, LalitpurKIST Medical College Teaching Hospital, Imadol, LalitpurKIST Medical College Teaching Hospital, Imadol, LalitpurKIST Medical College Teaching Hospital, Imadol, Lalitpur Introduction: Laparoscopic cholecystectomy (LC) has a low risk for postoperative infective complications. The incidence of iatrogenic gall bladder perforation leading to spillage of bile and stones seems to be higher ranging between 5 and 40%. Studies have also shown an increased incidence of complications like surgical site infection (SSIs) after bile spillage. This study aims to assess the prevalence and outcome in bile spillage during LC. Methods: A cross-sectional study was conducted at KIST Medical College and Teaching Hospital. All the patients who underwent elective LC from February 2018 to March 2020 were studied. A total of 187 patients were enrolled. The required data was entered in the proforma by reviewing the patient’s medical records. The data was entered and analyzed using the SPSS version 26. Descriptive statistics and chi-square test were carried out. Results: The prevalence of bile spillage was 29.4%. The prevalence of SSIs among the bile spillage and non-bile spillage groups was 10.9% and 8.3% respectively. There was no significant association between SSIs and bile spillages (p value 0.584). There is no significant association post operative use of antibiotics and SSIs among patients with bile spillage (p value = 0.163). Conclusion: The prevalence of bile spillage during LC was higher when compared to other national and international studies. However, the rate of SSIs among bile spillage was lower. Bile spillage during LC doesn’t cause SSIs post-operatively and use of postoperative antibiotics among bile spillage patients doesn’t prevent SSI during elective LC thus use of antibiotics in such cases should be limited. https://www.nepjol.info/index.php/JSSN/article/view/47717AntibioticsBile spillageCholecystectomySurgical site infections |
| spellingShingle | Sushil Dhungel Rupesh Mukhiya Kamal Koirala Bibechan Thapa Mahipendra Tiwari The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy Journal of Society of Surgeons of Nepal Antibiotics Bile spillage Cholecystectomy Surgical site infections |
| title | The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy |
| title_full | The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy |
| title_fullStr | The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy |
| title_full_unstemmed | The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy |
| title_short | The Prevalence and Outcome of Bile Spillage during Elective Laparoscopic Cholecystectomy |
| title_sort | prevalence and outcome of bile spillage during elective laparoscopic cholecystectomy |
| topic | Antibiotics Bile spillage Cholecystectomy Surgical site infections |
| url | https://www.nepjol.info/index.php/JSSN/article/view/47717 |
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