Published December 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article132.pdf
Journal article Open

Efficacy of Powder-Free Surgical Glove Bag versus No Glove Bag for Retrieval of the Gallbladder during Laparoscopic Cholecystectomy

  • 1. Senior Assistant Professor, Department of General Surgery, Govt Dharmapuri Medical College Hospital, Dharmapuri
  • 2. Assistant Surgeon, Government Upgraded Primary Health Centre, Kokkarayanpet, Namakkal District

Description

Introduction: The one of the most commonly done laparoscopic surgeries was laparoscopic cholecystectomy. The specimen after surgery can be retrieved outside either directly or through retrieval bags. The present study was done mainly to identify the benefits of use of retrieval bags. Materials and Method: Patients those who underwent laparoscopic cholecystectomy are taken into the study. The study was conducted at Government Dharmapuri Medical College and Hospital, during the time period April 2021 – September 2022. They were separated into two groups based on glove bag usage for gall bladder retrieval. Results obtained were analyzed, tabulated and interpreted. Results: In the present study out of 40 patients, Overall 22 % developed port site infection. Out of the 9 patients who developed port site infection, glove bag was used in 1 patient and glove bag was not used in 8 patients. Out of 40 patients, 23 patients developed port site discharge, which accounts for about 57%, 17 patients doesn’t show any discharge, which accounts for about 43%, in which glove bag was used in 20 patients out of which only 6 patients developed port site discharge. The port site discharge in which no glove bag was present in 17 patients. Conclusion: Laparoscopic cholecystectomy done with retrieval of gallbladder using glove bag versus no glove bag was done. It is mainly to identify whether there benefit in decreasing the port site infection, discharge or metastasis.

 

 

Abstract (English)

Introduction: The one of the most commonly done laparoscopic surgeries was laparoscopic cholecystectomy. The specimen after surgery can be retrieved outside either directly or through retrieval bags. The present study was done mainly to identify the benefits of use of retrieval bags. Materials and Method: Patients those who underwent laparoscopic cholecystectomy are taken into the study. The study was conducted at Government Dharmapuri Medical College and Hospital, during the time period April 2021 – September 2022. They were separated into two groups based on glove bag usage for gall bladder retrieval. Results obtained were analyzed, tabulated and interpreted. Results: In the present study out of 40 patients, Overall 22 % developed port site infection. Out of the 9 patients who developed port site infection, glove bag was used in 1 patient and glove bag was not used in 8 patients. Out of 40 patients, 23 patients developed port site discharge, which accounts for about 57%, 17 patients doesn’t show any discharge, which accounts for about 43%, in which glove bag was used in 20 patients out of which only 6 patients developed port site discharge. The port site discharge in which no glove bag was present in 17 patients. Conclusion: Laparoscopic cholecystectomy done with retrieval of gallbladder using glove bag versus no glove bag was done. It is mainly to identify whether there benefit in decreasing the port site infection, discharge or metastasis.

 

Files

IJPCR,Vol15,Issue12,Article132.pdf

Files (323.4 kB)

Name Size Download all
md5:8e04c3d3c08a592d78c59213164146d4
323.4 kB Preview Download

Additional details

Dates

Accepted
2023-11-30

References

  • 1. Litwin DE, Cahan MA. Laparoscopic cholecystectomy, ix. Surg Clin North Am. 2008; 88(6):1295-1313. 2. Brockmann JG, Kocher T, Senninger NJ, Schurmann GM. Complications due to gallstones lost during laparoscopic cholecystectomy. Surg Endosc. 2002; 16(8):1226-1232. 3. Sathesh-Kumar T, Saklani AP, Vinayagam R, Blackett RL. Spilled gall stones during laparoscopic cholecystectomy: a review of the literature. Postgrad Med J. 2004; 80(940):77- 79. 4. Holme JB, Mortensen FV. Apowder-free surgical glove bag for retraction of the gallbladder during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2005; 15(4):209-211. 5. Patton JT, Jorgensen JO, Imrie CW. Specimen retrieval in laparoscopic cholecystectomy. Br J Surg. 1997; 84(7):957. 6. Drouard F, Delamarre J, Capron JP. Cutaneous seeding of gallbladder cancer after laparoscopic cholecystectomy. N Engl J Med. 1991; 325 (18):1316. 7. Harling R, Moorjani N, Perry C, MacGowan AP, Thompson MH. A prospective, randomised trial of prophylactic antibiotics versus bag extraction in the prophylaxis of wound infection in laparoscopic cholecystectomy. Ann R Coll Surg Engl. 2000; 82(6):408-410. 8. Samel S, Post S, Martell J, Becker H. Clostridial gas gangrene of the abdominal wall after laparoscopic cholecystectomy. JLaparoendosc Adv Surg Tech A. 1997; 7(4):245-247. 9. Schellpfeffer MA. A novel laparoscopic tissue retrieval device. JSLS. 2011;15(4):527-532. 10. Upadhyaya M, Sundararajan LS, Woodward MN. Dangerous deliveries: lessons learned during retroperitoneal specimen retrieval. J Pediatr Surg. 2011; 46(4):13-15. 11. Syed Asad Ali, Faisal Ghani Siddiqui. Implanted Gallstones at Port site. World J Min Access Surg. 2013; 2(2):12-22. 12. Diez J, Arozamena C, Gutierrez L, Bracco J, Mon A, Almeyra RS, et al. Lost stones during laparoscopic cholecystectomy. HPB Surg. 1998; 11(2):105-108. 13. Sajid M, Azim K, Rehman S, Saqib K. Early cholecystectomy; in acute cholecystitis: our experience. Professional Med J 2014; 21(1):10-15. 14. AL- Dhahiry JKS. Laparoscopic Cholecystectomy: Retrieval of the Gallbladder Specimen and Spilled Gallstones, inside a Sterile Male Condom as an Endobag, Reduces the Septic Complications. Iraqi Postgrad Med J. 2015; 14(2):209-215. 15. Majid MH, Meshkat B, Kohar H, El Masry S. Specimen retrieval during elective laparoscopic cholecystectomy: is it safe not to use a retrieval bag? BMC Surg. 2016;16(1):64. 16. Sathesh-Kumar T, Saklani A, Vinayagam R, Blackett R. Spilled gall stones during laparoscopic cholecystectomy: a review of the literature. Postgrad Med J. 2004;80(940):77- 79 17. Machado MA, Herman P. A simple technique for removal of the gallbladder during microlaparoscopic cholecystectomy. Surg Endosc. 2004;18(8):1289-1290 18. Amir D, Amin N. Frequency of complications due to laparoscopic cholecystectomy in Hamedan Hospitals. J Pak Med Assoc. 2012; 62(1):13. 19. 19. Kirshtein B, Bayme M, Bolotin A, Mizrahi S, Lantsberg L. Laparoscopic cholecystectomy for acute cholecystitis in the elderly: is it safe? Surg Laparosc Endosc Percutan Tech. 2008; 18(4):334- 339.