A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy

Background: Gallbladder (GB) retrieval is essential to reduce postoperative pain after laparoscopic cholecystectomy (LC). Limited data are available for the use of endobags for GB extraction. Aims and Objectives: The study aims to assess the incidence of postoperative infection after GB extractio...

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Main Authors: Jemin Bharath R, Renganathan M, Mukesh Kumar P, Ganesh Kumar C, Sathyaraj P
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2023-07-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/53766
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author Jemin Bharath R
Renganathan M
Mukesh Kumar P
Ganesh Kumar C
Sathyaraj P
author_facet Jemin Bharath R
Renganathan M
Mukesh Kumar P
Ganesh Kumar C
Sathyaraj P
author_sort Jemin Bharath R
collection DOAJ
description Background: Gallbladder (GB) retrieval is essential to reduce postoperative pain after laparoscopic cholecystectomy (LC). Limited data are available for the use of endobags for GB extraction. Aims and Objectives: The study aims to assess the incidence of postoperative infection after GB extraction. Materials and Methods: The randomized prospective study was conducted in the Department of General Surgery, Government Rajaji Hospital, for 6 months. After the ethical approval, 100 patients who underwent elective LC were enrolled in the study. Patients who underwent LC and removed the GB using an endobag were included in Group A. The patients in whom the bladder was removed without using an endobag were included in Group B. Results: The study reports a female predominance, 76% in Group A and 70% in Group B. A significant difference was reported between the port-site spill in Group B patients who underwent conventional treatment without endobags and reported spillage in six patients (12.0%). In addition, port-site infection was also prevalent in four patients under Group B with a significant difference, respectively. The mean operating time was higher in Group A patients with 88.24±7.4 (hours) compared with Group B with 85.3±6.6 (hours); however, no significant difference was reported between operating time and hospital stay. Conclusion: The use of endobags in GB extraction has been reported beneficial with a lower incidence of port-site spillage and infection. This signifies the essential benefit of endobags for GB extraction with a lower incidence of postoperative complications.
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spelling doaj.art-1fc8a9a33af14b779c282a67c5088a0e2023-07-02T05:59:42ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-07-01147195199https://doi.org/10.3126/ajms.v14i7.53766A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomyJemin Bharath R 0https://orcid.org/0009-0002-9001-8839Renganathan M 1https://orcid.org/0009-0000-2550-7762Mukesh Kumar P 2https://orcid.org/0009-0005-2711-9188Ganesh Kumar C 3https://orcid.org/0009-0008-9458-5367Sathyaraj P 4https://orcid.org/0009-0007-9842-3149Assistant Professor, Department of General Surgery, Government Rajaji Medical College and Hospital, Madurai, Tamil Nadu, India Assistant Professor, Department of General Surgery, Government Rajaji Medical College and Hospital, Madurai, Tamil Nadu, India Assistant Professor, Department of General Surgery, Government Rajaji Medical College and Hospital, Madurai, Tamil Nadu, India Junior Residents, Department of General Surgery, Government Rajaji Medical College and Hospital, Madurai, Tamil Nadu, India Assistant Professor, Department of General Surgery, Government Rajaji Medical College and Hospital, Madurai, Tamil Nadu, India Background: Gallbladder (GB) retrieval is essential to reduce postoperative pain after laparoscopic cholecystectomy (LC). Limited data are available for the use of endobags for GB extraction. Aims and Objectives: The study aims to assess the incidence of postoperative infection after GB extraction. Materials and Methods: The randomized prospective study was conducted in the Department of General Surgery, Government Rajaji Hospital, for 6 months. After the ethical approval, 100 patients who underwent elective LC were enrolled in the study. Patients who underwent LC and removed the GB using an endobag were included in Group A. The patients in whom the bladder was removed without using an endobag were included in Group B. Results: The study reports a female predominance, 76% in Group A and 70% in Group B. A significant difference was reported between the port-site spill in Group B patients who underwent conventional treatment without endobags and reported spillage in six patients (12.0%). In addition, port-site infection was also prevalent in four patients under Group B with a significant difference, respectively. The mean operating time was higher in Group A patients with 88.24±7.4 (hours) compared with Group B with 85.3±6.6 (hours); however, no significant difference was reported between operating time and hospital stay. Conclusion: The use of endobags in GB extraction has been reported beneficial with a lower incidence of port-site spillage and infection. This signifies the essential benefit of endobags for GB extraction with a lower incidence of postoperative complications.https://www.nepjol.info/index.php/AJMS/article/view/53766gall bladder extractions; endobags; port site infection; laparoscopic cholecystectomy
spellingShingle Jemin Bharath R
Renganathan M
Mukesh Kumar P
Ganesh Kumar C
Sathyaraj P
A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
Asian Journal of Medical Sciences
gall bladder extractions; endobags; port site infection; laparoscopic cholecystectomy
title A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
title_full A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
title_fullStr A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
title_full_unstemmed A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
title_short A comparative study on port-site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
title_sort comparative study on port site infection following gall bladder retrieval using endobag and conventional method in laparoscopic cholecystectomy
topic gall bladder extractions; endobags; port site infection; laparoscopic cholecystectomy
url https://www.nepjol.info/index.php/AJMS/article/view/53766
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