English

Abstract

Port site infection is a frequent problem encountered in patients undergoing laparoscopic surgery. The milestone which minimal invasive surgery achieved since its inception is that laparoscopic Cholecystectomy has become gold standard. Umbilical port site infection during cholecystectomy is reported to be 9%,(1, 2) even for difficult cholecystectomy.(3) The role of topical antibiotic prophylaxis is particularly useful in prevention of local infection in all patients especially those taking immunosuppressive drugs, uncontrolled diabetic patients, and others. In the literature, no data shows differences in umbilical port site infections in Lap. Cholecystectomies who undergo different techniques of peritoneal access: Hasson, Veress, and others. (4, 5) However, the incidence of port site complications has shown a proportional risk with the increase in size of port size incision & trocar(6, 7) Surgical site infection is because of microbial contamination of the surgical wound . The microorganisms may originate from either endogenous or exogenous sources. Sources of endogenous flora include the patient's skin, mucous membranes or hollow viscera. Exogenous flora originate from any contaminated items on the sterile surgical field including, surgical team members, instruments, air, or material(8) In this study, we concentrated on the management and prevention of laparoscopic port site infection. The aim of this study was to evaluate the use of Trocars & Stillets soaked in 10% topical povidone-lodine solution for prevention/lowering of laparoscopic port site infections.