Conclusions The use of prophylactic antibiotics is effective for reducing the incidence of SSI and superficial SSI but is not effective for preventing deep SSI in low-risk patients who underwent elective laparoscopic cholecystectomy
Background s/ Aims The role of prophylactic antibiotics for laparoscopic cholecystectomy in low-risk patients is still unclear .
This study aim ed to verify the conclusion of previous meta-analyses concerning the effectiveness of antibiotic prophylaxis for elective laparoscopic cholecystectomy in low-risk patients .
A prospective, randomised trial of prophylactic antibiotics versus bag extraction in the prophylaxis of wound infection in laparoscopic cholecystectomy.
Septic complications are rare following laparoscopic cholecystectomy if prophylactic antibiotics are given , as demonstrated in previous studies . Antibiotic treatment may be unnecessary and , therefore , undesirable , so we compared two forms of prophylaxis : a cephalosporin antibiotic and bag extraction of the dissected gallbladder . A total of 76 patients undergoing laparoscopic cholecystectomy were r and omised to either receive an antibiotic or to have their gallbladder removed from the abdomen in a plastic bag . Complicated cases were excluded . There was a total of 6 wound infections ( 7.9 % ) , 3 in each of the study groups . All these were associated with skin commensals . There were no other septic complications . Bacteriological studies grouped the organisms isolated from the bile and the wound as potential pathogens and likely commensals . A total of 10 potential pathogens were isolated , 9 of which were found in the group receiving antibiotics . We conclude that septic sequelae of uncomplicated laparoscopic cholecystectomy are uncommon , but clearly not entirely prevented by antibiotic or mechanical prophylaxis . Prophylactic antibiotics may not be required in uncomplicated laparoscopic cholecystectomy . Further study is warranted
Conclusions The use of prophylactic antibiotics is effective for reducing the incidence of SSI and superficial SSI but is not effective for preventing deep SSI in low-risk patients who underwent elective laparoscopic cholecystectomy
Background s/ Aims The role of prophylactic antibiotics for laparoscopic cholecystectomy in low-risk patients is still unclear .
This study aim ed to verify the conclusion of previous meta-analyses concerning the effectiveness of antibiotic prophylaxis for elective laparoscopic cholecystectomy in low-risk patients .