|Discussion in 'All Categories' started by Dr.C.N.Chougule - Sep 22nd, 2011 2:57 pm.|
|what are the reasons for infections.|
re: portsite atypical myco.bacterial infection. by Dr Sadhana - Sep 22nd, 2011 10:47 pm
The explosive increase in laparoscopic surgery is very much accepted, there is concern about the effectiveness of sterilizing reusable laparoscopic instruments by immersion in 2% glutaraldehyde. But not allowing proper time of immersion tuberculosis at the port-site unassociated with other clinical features of tuberculosis. There are many patients recently reported had positive cultures for Mycobacterium tuberculosis. The port-site sinuses healed with antituberculous chemotherapy. There is conflicting information in the literature regarding the effectiveness of a 20-min instrument soak in 2% glutaraldehyde to clear M. tuberculosis. In light of the preceding information, the current practice of glutaraldehyde disinfection for reusable laparoscopes needs to be reexamined and at least 6=8 hour immersion is recommended.
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