Free Medical Advice Related to Laparoscopic Surgery

port site infection after laparoscopic cholecystectomy
Discussion in 'All Categories' started by P BHATTACHARYA - Sep 2nd, 2011 5:25 pm.
P BHATTACHARYA
P BHATTACHARYA
The above surgery was done on 02.02.2011.After two weeks port site infections developed and still suffering.The concerned surgeon advice to take clarithromycin 500 once a day and The medication is continuing since last 5 months.Some improvements noted but not fully cured.No ulcer or fluid is there. it is like a boil dry in nature.
please advise
re: port site infection after laparoscopic cholecystectomy by Dr Sadhana - Sep 3rd, 2011 1:31 am
#1
Dr Sadhana
Dr Sadhana
Dear P Bhattacharya

The overall risk of port site infection is significantly higher for open cholecystectomy than for laparoscopic cholecystectomy. Laparoscopy is associated with a lower risk of port site infection.

In one of the study A series of 145 laparoscopy port site infections due to Mycobacterium chelonae or tuberculosis were found in many patients following laparoscopy at a single hospital over a six-week period. The contaminating source was ultimately identified as the rinsing water used for washing chemically disinfected instruments. The organism survived and grew within the biofilm at the bottom of disinfectant trays and within the outer sleeves of re-usable laparoscopic instruments. Remedial control measures included changing to ethylene oxide gas sterilization of laparoscopic equipment instead of chemical sterilization, thorough dismantling and manual precleaning of instruments, drying prior to gas sterilization, and random checks of environmental samples within the operating room complex for acid-fast bacilli.

No further atypical mycobacterial infective episodes have occurred in the three years since the study. Awareness of this ubiquitous opportunistic organism like tuberculosis that is not easily eradicated from the hospital environment, careful surveillance, detailed attention to disinfection methods of medical devices, and appropriate control measures are essential to prevent potential outbreaks.

Please get one culture and sensitivity done from your wound and try to meet our consultant.

With regards

Sadhana
re: port site infection after laparoscopic cholecystectomy by anish bagchi - Mar 23rd, 2013 10:18 pm
#2
anish bagchi
anish bagchi
I am suffering from port site infection of AFB after 7 days of surgery
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