EVALUATING THE ROLE OF PROPHYLACTIC INTRAVENOUS AMIKACIN VS. LOCAL INFILTRATION IN PREVENTING DELAYED PORT SITE INFECTION FOLLOWING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY

Debojyoti Sasmal; Mintu Mohan Nandi; Utpal De; Amit Kr Das; Jishan Ali

Volume : VII, Issue : I, January - 2018

EVALUATING THE ROLE OF PROPHYLACTIC INTRAVENOUS AMIKACIN VS. LOCAL INFILTRATION IN PREVENTING DELAYED PORT SITE INFECTION FOLLOWING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY

Debojyoti Sasmal, Mintu Mohan Nandi, Utpal De, Amit Kr Das, Jishan Ali

Abstract :

INTRODUCTION:– Laparoscopic cholecystectomy(LC) is the gold standard treatment of chronic calculus Cholecystitis and is often complicated with Port Site Infection( PSI). The purpose of the study is to observe the outcome following single dose intravenous amikacin at induction and local infiltration at all port sites after closure.

AIM:–The purpose of the study is to observe the outcome following single dose intravenous amikacin at induction and local infiltration at all port sites after closure.

MATERIALS AND METHODS:– 88 patients undergone LC are divided in two groups. One group (n=44) is given intravenous single dose of Amikacin (1gm) at induction and other group (n=44) is given local subcutaneous infiltration of injection Amikacin around the port sites {(1gm diluted in 2ml of sterile water) 2ml in each epigastric and umbilical port and 1ml in each other port sites}.

RESULTS:– Results revealed that early PSI occured in 4 cases (9.1%) and all of them fall into I.V. Amikacin group. We have not found any delayed PSI in our study.

CONCLUSION :– Local infiltration of amikacin is better than intravenous amikacin to prevent early PSI but both are equally effective to prevent Delayed PSI.