caa a22 4500 606247378 CHVBK 20210128101345.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0857-9 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0857-9 Laparoscopic Cholecystectomy Without Prophylactic Antibiotics: A Prospective Study [Elektronische Daten] [Nilay Mandal, Mintu Nandy, Jaganmay Majhi, Shibshankar Kuiri, Pranab Kumar Ghosh, Gautam Ghosh] Laparoscopic cholecystectomy has become the new gold standard for management of symptomatic gallstones. Prophylactic antibiotics are used in elective surgery by the majority of surgeons, and their role in biliary tract surgery has been well established for a subpopulation of high-risk patients. This consensus has been derived from multiple studies involving biliary tract surgery before and in the era of laparoscopic cholecystectomy. But the use of prophylactic antibiotics in laparoscopic cholecystectomy especially in the low-risk group is now controversial and varied among the surgeons all over the world. To study the role of prophylactic antibiotics in laparoscopic cholecystectomy in different risk groups of patients, a prospective study was conducted in the Department of Surgery of Bankura Sammilani Medical College and Hospital from January 2010 to July 2011. All patients with symptomatic gallstones who underwent elective laparoscopic cholecystectomy during this period are included in this study. One hundred and two patients with symptomatic gallstones were operated on by laparoscopic technique without receiving preoperative antibiotics and studied over a period of 1.5years. Ages ranged from 11 to 70years (mean age of 33years). There were 14 males (13.72% of the patients) and 88 females (86.27% of the patients). There was no wound infection (class I) in 99 patients, and class II type of wound infection, i.e., surgical site infection, occurred in three patients (i.e., 2.94%) out of a total of 102 patients. Swabs were taken for culture and sensitivity; Staphylococcus aureus was found in two patients and Streptococcus viridans in one patient. In all three patients, infection occurred at the umbilical port sites, detected on the 3rd and 4th postoperative days. Antibiotic prophylaxis is not necessary in low-risk patients with symptomatic gallstone disease undergoing elective laparoscopic cholecystectomy to prevent postoperative infection-related complications. Preoperative skin preparation with chlorhexidine gluconate scrub may replace the use of prophylactic antibiotics for prevention of infection-related complications in patients undergoing elective laparoscopic cholecystectomy. Association of Surgeons of India, 2013 Laparoscopic cholecystectomy nationallicence Preoperative antibiotics nationallicence Wound infection nationallicence Mandal Nilay Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Nandy Mintu Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Majhi Jaganmay Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Kuiri Shibshankar Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Kumar Ghosh Pranab Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Ghosh Gautam Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 419-422 0972-2068 77<419 2015 77 12262 https://doi.org/10.1007/s12262-013-0857-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0857-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mandal Nilay Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 700 1- Nandy Mintu Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 700 1- Majhi Jaganmay Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 700 1- Kuiri Shibshankar Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 700 1- Kumar Ghosh Pranab Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 700 1- Ghosh Gautam Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 419-422 0972-2068 77<419 2015 77 12262