title: Relationship of Gallbladder Perforation and Bacteriobilia with Occurrence of Surgical Site Infections following Laparoscopic Cholecystectomy.
abstract: Aim. To assess the occurrence of SSIs in patients with spillage of gallbladder contents and bacteriobilia during laparoscopic cholecystectomy. Methods. We evaluated 113 patients who underwent laparoscopic cholecystectomy between September 2013 and April 2015. The SSIs and their relationship with gallbladder rupture and bacteriobilia were assessed. Results. The mean age of patients developing SSIs was 45.57 ± 8.89 years. 18 patients (16%) had spillage of bile from the gallbladder. Percentage of SSIs overall was 6%, while percentage of SSIs in gallbladder content spillage was 5.5%. Organism profile of the culture from surgical site showed monomicrobial infection: 58% Staphylococcus aureus, 14% Pseudomonas, and 14% E. coli. The occurrence of SSIs in patients with bacteriobilia was 16% as compared to 2% in patients without bacteriobilia. Conclusions. Gallbladder content spillage is not a significant risk factor leading to increase in SSIs. The occurrence of SSIs is significantly higher in patients with bacteriobilia.
authors.affiliation: Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
authors.forename: Nikhar
authors.initials: N
authors.lastname: Jain
authors.affiliation: Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
authors.forename: Sushanto
authors.initials: S
authors.lastname: Neogi
authors.affiliation: Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
authors.forename: Rajandeep Singh
authors.initials: RS
authors.lastname: Bali
authors.affiliation: Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
authors.forename: Niket
authors.initials: N
authors.lastname: Harsh