Home|Journals|Articles by Year|Audio Abstracts
 

Original Article



Evaluation of the role of prophylactic antibiotics in laparoscopic cholecystectomy – a prospective randomized study

Anil Mehta, Rajesh Godara, Ashish Anand, Md Taquedis Noori, Dipanshu Gupta, Ankur Kajal, Amit Nehra.




Abstract
Cited by 0 Articles

Objectives:
Evaluation of role of prophylactic antibiotic in preventing the post operative infective complications in low risk patients patients undergoing elective laparoscopic cholecystectomy.
Methods:
This randomized clinical trial, conducted from June 2016 to April 2018 at tertiary care teaching hospital in northern India, included 100 patients ( 50 patients in Group A: prophylactic antibiotic group with cefuroxime 1.5 gm IV and 50 in Group B: no antibiotic group. Symptomatic low risk cholelithiasis patients of American Society of Anesthesiologist (ASA) 1 and 2 without comorbidities were included. Patients younger than 18 years, antibiotic consumption seven days before laparoscopic cholecystectomy , immune compromised patients, history of acute cholecystitis within 6 weeks prior to admission, obstructive jaundice, gallstone pancreatitis, previous biliary tract surgery, evidence of cholangitis / biliary stent in situ, post ERCP, diabetes mellitus, conversion to open, chronic obstructive pulmonary disease (COPD), ASA grade 3 or more and those not consenting for participation in study were excluded. These patients were followed up in OPD for next one month on weekly basis especially for any evidence of surgical site infections. The following data were collected for each patient: age, gender, body weight, ASA score, intra operative gallbladder perforation with bile leak and/or stones spillage, duration of surgery and type of infective complications and its treatment. At the end of study, data was collected and recorded in individual proforma and analyzed by using Student t-test and Chi-square test. We assumed statistically a significant difference at P< 0.05.

Results:
In total, 100 patients were analysed , 50 in antibiotic group and 50 in no antibiotic group. Both groups were comparable in patient demographic and clinical characteristics such as mean age in group A patients was 46.46+13.78(SD) years and in group B was 43.78 +14.83(SD) years. In group A,43/50 (86%) of the patients were female while in group B,40/50 (80%) of the patients were female. Intraoperative biliary spillage was encountered in 46 patients, 32 in Group A and 14 in Group B(P

Key words: Gallbladder perforation, Laparoscopic cholecystectomy, Prophylactic antibiotics.






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.