COMPARISON OF SURGICAL SITE INFECTIONS BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY

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ASGARI SHERVIN; MOHAGHEGH PEGAH; GHORBANI ABDEHGAH ALI; MOLAVI BEHNAM; YAGHOOBI NOTASH AIDIN; MIR ALI; SAEEDI REZA; NASIRI SHIRZAD; ESLAMIAN REZA; SHOJAIEFARD ABLOLFAZL; JAFARI MEHDI; SOROUSH AHMADREZA

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Journal: GOVARESH JOURNAL Year:2018 | Volume:22 | Issue:4 Page(s): 266-270

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Title

COMPARISON OF SURGICAL SITE INFECTIONS BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY

Author(s)

Keywords

SURGICAL SITE INFECTION

LAPAROSCOPIC CHOLECYSTECTOMY

OPEN CHOLECYSTECTOMY

CHOLECYSTITIS

POST-CHOLECYSTECTOMY WOUND INFECTION

Abstract

Background:This study assessed the causes of infection in cholecystectomy and compared the infection rates between the open and laparoscopiccholecystectomy.Materials and Methods:This was a retrospective cohort study, performed on all patients admitted to Shariati Hospital since February 2017 for cholecystectomy.Initially, the patients were evaluated for infection risk factors, and then SURGICAL SITE INFECTION rates in these individualswere measured. Infection was assessed at the time of patients discharge (in the first few days after surgery) and again a monthlater, either in clinic or by phone. Information from 81 patients was collected, and SPSS software version 24 was used to analysethe data using appropriate statistical tests. Statistical significance was defined as p value < 0.05.Results:The mean age of the participants was 45.89 ± 13.38. The relationship between SURGICAL SITE INFECTIONs (SSI) and age, sex, comorbidities (diabetes,hypertension, ischemic heart disease, malignancy, chronic lung disease, and chronic kidney disease), taking corticosteroids, smoking,and the emergency or elective nature of the surgery was not significant. The mean age of the patients who underwent OPEN CHOLECYSTECTOMYwas higher than the laparoscopic group (p = 0.005). Similarly, the average hospitalization period for those underwent OPEN CHOLECYSTECTOMYwas higher (p = 0.03). Finally, the infection rates for OPEN CHOLECYSTECTOMY were 6 times higher than laparoscopic surgeries (RR: 6.11).Conclusion:There was no significant relationship between SSIs and the risk factors assessed in this study. However, infection rates werehigher in the OPEN CHOLECYSTECTOMY group. More studies on the various risk factors of infection and the differences between thelaparoscopic and open surgical methods are required.

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References

Risk Factors for Surgical Site Infection After Cholecystectomy

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APA: Copy

ASGARI, SHERVIN, MOHAGHEGH, PEGAH, GHORBANI ABDEHGAH, ALI, MOLAVI, BEHNAM, YAGHOOBI NOTASH, AIDIN, MIR, ALI, SAEEDI, REZA, NASIRI, SHIRZAD, ESLAMIAN, REZA, SHOJAIEFARD, ABLOLFAZL, JAFARI, MEHDI, & SOROUSH, AHMADREZA. (2018). COMPARISON OF SURGICAL SITE INFECTIONS BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY. GOVARESH JOURNAL, 22(4 ), 266-270. SID. https://sid.ir/paper/715387/en

Vancouver: Copy

ASGARI SHERVIN, MOHAGHEGH PEGAH, GHORBANI ABDEHGAH ALI, MOLAVI BEHNAM, YAGHOOBI NOTASH AIDIN, MIR ALI, SAEEDI REZA, NASIRI SHIRZAD, ESLAMIAN REZA, SHOJAIEFARD ABLOLFAZL, JAFARI MEHDI, SOROUSH AHMADREZA. COMPARISON OF SURGICAL SITE INFECTIONS BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY. GOVARESH JOURNAL[Internet]. 2018;22(4 ):266-270. Available from: https://sid.ir/paper/715387/en

IEEE: Copy

SHERVIN ASGARI, PEGAH MOHAGHEGH, ALI GHORBANI ABDEHGAH, BEHNAM MOLAVI, AIDIN YAGHOOBI NOTASH, ALI MIR, REZA SAEEDI, SHIRZAD NASIRI, REZA ESLAMIAN, ABLOLFAZL SHOJAIEFARD, MEHDI JAFARI, and AHMADREZA SOROUSH, “COMPARISON OF SURGICAL SITE INFECTIONS BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY,” GOVARESH JOURNAL, vol. 22, no. 4 , pp. 266–270, 2018, [Online]. Available: https://sid.ir/paper/715387/en

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