Study of Port Site Infection after Laproscopic Surgery

Dr Manish Kumar, Dr Apurva Agarwal, Dr Sumit Kumar

Abstract: Atypical mycobacterial infections at the laparoscopic port site are a frequent problem encountered in patients undergoing laparoscopic surgery. In this study we concentrate on the clinical diagnosis, management and prevention of this problem. In this series we assess 21 patients presenting with port hole infections after laparoscopic surgery and were treated with oral clarithromycin. Eight patients who had persistent nodules were given injections of amikacin directly into the infection foci along with standard oral therapy. Most of the patients treated with standard oral therapy for 28 days showed recovery. The patients with persistent nodules 4 weeks after completion of therapy were treated with injections of amikacin directly into the nodule which lead to resolution of symptoms. For prevention of infection, proper sterilization and storage of instruments is recommended. Laparoscopic port hole infections is a preventable problem and can also be treated by nonsurgical method.

Keywords: Laparoscopy, Atypical mycobacteria, Aminoglycosides, Sterilization, Disinfection-port hole infection