Abstract
Background: Surgical wound infection is an internationally recognized complication which is expected to get cured in few days time. Lack of antibiotic policies added to the existing chaos in free market policies is expected to end up with mysterious resistant organisms soon in future. Objectives: To report our experience with 52 key hole protracted surgical wound infections in 23 patients. Patients and methods: Demographic data of patients who suffered post operative subcutaneous wound nodules following minimal access surgery, duration of the disease and its clinical manifestations as well as results of investigations were collected and analysed. Results: Two males and 21 females, age range 27-65 (median 42) years had 32 key-hole wound nodules and 20 persistent discharging wounds that had appeared in an average but latent period of nine weeks (range three weeks to sixmonths after surgery). Only two cultures were positive for Mycobacterium chelonae. Conclusion: Mycobacterium chelonae should be suspected in protracted surgical wounds and treated promptly with meticulous frequent dressings, wound excision and clarithromycin plus ceftazidime. Keywords : surgical wounds, subcutaneous, mycobacterium, catalase, resistant organisms. Sudan Journal of Medical Sciences Vol. 3 (2) 2008: pp. 133-138
Highlights
Surgical wound infection is an internationally recognized complication which is expected to get cured in few days time
Patients and Methods: Data of patients operated in three different health facilities from June 2007 through November 2007 who presented to us with post operative subcutaneous wound nodules, and/or delayed wound discharge 3 weeks or more after the primary surgery were interviewed for the symptoms related to the keyhole surgical wounds that forced these patients to come back for further advise and treatment
laparoscopic cholecystectomy (LC) was performed via four conventional pores
Summary
Surgical wound infection is an internationally recognized complication which is expected to get cured in few days time. Objectives: To report our experience with 52 key hole protracted surgical wound infections in 23 patients. Patients and methods: Demographic data of patients who suffered post operative subcutaneous wound nodules following minimal access surgery, duration of the disease and its clinical manifestations as well as results of investigations were collected and analysed. Results: Two males and 21 females, age range 27-65 (median 42) years had 32 key-hole wound nodules and 20 persistent discharging wounds that had appeared in an average but latent period of nine weeks (range three weeks to sixmonths after surgery). Conclusion: Mycobacterium chelonae should be suspected in protracted surgical wounds and treated promptly with meticulous frequent dressings, wound excision and clarithromycin plus ceftazidime
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
