腹腔镜手术孔部位感染:100 例研究的处理回顾

Kazi Sohel Iqbal, Tanvir Ahmed Shohan, A. M. K. Hasan, Ruksana Parveen, Md. Alfazzaman Md. Alfazzaman, Md. Jamaluddin Md. Jamaluddin, Riditta Mustika, Sourov Hossain
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引用次数: 0

摘要

简介:腹腔镜手术的出现改变了外科干预的格局:腹腔镜手术的出现改变了外科干预的格局,为患者带来了减少创伤、缩短恢复时间和改善美容效果的好处。随着这种微创方法在各外科领域的不断普及,解决可能出现的相关挑战和并发症至关重要。研究目的:本研究旨在分析腹腔镜端口部位感染的微生物分布和抗生素敏感性模式。研究方法从 2016 年 1 月至 2023 年 12 月,在孟加拉国达卡的 MH Samorita 医学院和医院、Hi Tech Surgicare 医院和痔疮中心、萨瓦尔专科医院、萨瓦尔实验室区医院接受腹腔镜手术的 100 名患者进行了前瞻性观察研究。研究重点是确定培养阳性的腹腔镜端口部位感染病例。结果:腹腔镜胆囊切除术按胆石症、急性胆囊炎、Cal.胆囊炎、胆囊息肉和胆囊水肿。33.3%的男性和 40.5%的女性患有胆石症。在急性胆囊炎方面,20.0%的男性和 16.7%的女性患有此病。大部分男性患者的年龄在 40-50 岁之间,占 36.7%;女性患者的年龄在 40-50 岁之间,占 30.9%。在研究的 100 名患者中,71% 的患者端口部位感染检测呈阳性。结论总之,我们的研究为推动腹腔镜手术孔部位感染的管理奠定了基础。
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Laparoscopic Port Site Infection: A Review of Its Management of 100 Cases Studies
Introduction: The advent of laparoscopic surgery has transformed the landscape of surgical interventions, providing patients with the benefits of reduced trauma, shorter recovery times, and improved cosmetic outcomes. As this minimally invasive approach continues to gain popularity across various surgical disciplines, it is essential to address the associated challenges and complications that may arise. Aim of the Study: The aim of this study was to analyze the microbial distribution and antibiotic sensitivity patterns in laparoscopic port site infections. Methods: A prospective observational study was conducted on a cohort of 100 patients who underwent laparoscopic procedures at MH Samorita Medical College & Hospital, Hi Tech Surgicare Hospital & piles Centre, Savar Specialized Hospital, Lab Zone Hospital Savar, Dhaka, Bangladesh from Jan 2016 to Dec 2023. The study focused on identifying cases with culture-positive laparoscopic port site infections. Result: The Laparoscopic cholecystectomy being analyzed by Cholelithiasis, Acute cholecystitis, Ch. Cal. Cholecystitis, Empyema GB, and GB polyp. For Cholelithiasis, 33.3% of males and 40.5% of females had this condition. Regarding Acute cholecystitis, it was found in 20.0% of males and 16.7% of females. Majority 36.7% were 40 – 50 years in age group for male and 30.9% were in 40 – 50 years in age group for female respectively. Out of the total 100 patients in the study, 71% patients tested positive for port site infection. Conclusion: In conclusion, the insights gained from our study provide a foundation for advancing the management of laparoscopic port site infections.
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