Comparison Of  Port Site Infection with and Without Use of Retrieval Bag for Gall Bladder Extraction in Elective Laparoscopic Cholecystectomy

Iftekhar Ahmad; Muhammad Jalil Malik; Mansoor Hassan; Jehanzeb Ur Rehman; Shahid Abbas; Syed Mukarram Hussain

doi:10.51253/pafmj.v74i4.6774

Authors

Iftekhar Ahmad Department of General Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Muhammad Jalil Malik Department of Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Mansoor Hassan Department of Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Jehanzeb Ur Rehman Department of Hematologist, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Shahid Abbas Department of Cardiology, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Syed Mukarram Hussain Department of Surgery, Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.6774

Keywords:

Laparoscopic cholecystectomy, Port site infection, Retrieval bag.

Abstract

Objective: To compare the incidence of port site infection with and without use of retrieval bag for extraction of gall bladder in elective laparoscopic cholecystectomy.

Study Design: Quasi experimental study.

Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Oct 2019 to Dec 2020.

Methodology: Sixty patients were enrolled in this study after screening through inclusion and exclusion criteria. There were all planned to undergo laparoscopic cholecystectomy and were randomly allocated into two equal groups. Group A included patients in whom retrieval bags were used and Group B comprised patients in whom extraction bags were not used. All patients were followed up by clinical examination for development of infection at the port site till 10th post-operative day. Frequency of clinical development of infection at gall bladder extraction port site was noted for every group.

Result: Mean age of the patients was 41.00±13.70 years with an age range of 22-85 years. Among all patients, 9(18%) were male and 51(82%) patients were females. In Group A, 2 patients developed port site infection clinically, whereas in Group B, 3 patients developed infection. The p-value was calculated and was found to be 0.64. These results are not statistically significant showing that use of retrieval bag in elective laparoscopic cholecystectomy does not statistically decrease the occurrence of port site infection.

Conclusion: Use of retrieval bag does not significantly affect the development of port site infection from where gall bladder is extracted.

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