IMPACT OF ENDOGLOVES ON PORT SITE INFECTION RATE IN LAPAROSCOPIC CHOLECYSTECTOMY
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Keywords
Endogloves, Port site infection, Laparoscopy, Cholecystectomy
Abstract
Background: Laparoscopic cholecystectomy is the most common procedure performed to rectify Cholecystitis or Cholelithiasis. In laparoscopic cholecystectomy, four small incisions made in the anterior abdominal and gallbladder containing stones is removed. But there are chances of port site infection. Endogloves have been introduced to reduce the chance of infection
Methodology: A Quasi experimental study was done at Services Hospital, Lahore from July 2019 to Jan 2020, after approval from ethical review board of institute. A sample size of 360 cases was calculated by EpiInfo (7.2.5) with 160 cases each in group A (with endogloves) and group B (without endogloves). Patients were randomly divided into two groups by using lottery method. In group A, patients underwent laparoscopic cholecystectomy by using endogloves. In group B, patients underwent conventional laparoscopic cholecystectomy without endogloves. After surgery, patients were shifted to post-surgical wards and were discharged from there after 24 hours. Then patients were followed-up in OPD for 7 days. Wound site was evaluated for presence or absence of port site infection. All this information will be recorded on proforma. Data was analyzed in SPSS 26 to calculate means and standard deviations for age, BMI, and symptom duration, and frequencies for gender and port site infection. A chi-square test was conducted for port site infection, with significance set at p ≤ 0.05.
Results: In endogloves group, the mean age of patients was 50.29±15.78 years and without endogloves group was 50.44±15.05 years. The port site infection was found in 1 (0.6%) patient with endogloves while in 12 (7.5%) without endogloves. Significant difference has been obtained between both groups (P<0.05).
Conclusion: This study showed that the use of endogloves during laparoscopic surgery significantly reduces the port site infection as compare to without endogloves laparoscopic surgery.
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Muhammad Kamil Zulfiquar
Post Graduate Trainee, Department of General Surgery, Services Hospital, Lahore, Pakistan.
Muhammad Saulat Naeem
Post Graduate Trainee, Department of General Surgery, Services Hospital, Lahore, Pakistan.
Usama Rafi
Post Graduate Trainee, Department of General Surgery, Services Hospital, Lahore, Pakistan.
Zeeshan Ahmad
Assistant Professor, Department of General Surgery, Lahore Medical and Dental College, Lahore, Pakistan.
Muhammad Adil Zulfiquar
Post Graduate Trainee, Department of General Surgery, Services Hospital, Lahore, Pakistan
Ayesha Farooq
Post Graduate Trainee, Department of General Surgery, Mayo Hospital, Lahore, Pakistan.
Muhammad Awais
Post Graduate Trainee, Department of General Surgery, Services Hospital, Lahore, Pakistan.