ROLE OF PROPHYLACTIC ANTIBIOTICS IN LOW RISK ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY: A STUDY OF 50 CASES

Dr Kaustubh Sarda, Dr Yogendra P Chidrawar

Abstract


Background : Elective laparoscopic cholecystectomy for symptomatic cholelithiasis has low risk of postoperative
infective complications. Although antibiotics prophylaxis is routinely administered in laparoscopic cholecystectomy, its
role is debatable. Our objective of this study was to explore the adequacy of anti-microbial prophylaxis in avoiding
postoperative infective intricacies in low risk elective laparoscopic cholecystectomy patients
Methods: From January 2019 to June 2019, 50 patients were randomized into 25 in antibiotic group (ABG) and 25 in non
antibiotics group (NABG). AG received single dose of injection Ceftriaxone 1 gram as prophylactic antibiotics at the time
of induction of anesthesia. NAG was given only intravenous fluids. Besides routine care in both groups age, gender,
surgical duration, ASA classification, and duration of stay in hospital were documented. Patients were followed-up week
by week for 4 weeks and rates of shallow surgical site contaminations and in addition intra-abdominal infections were
assessed.
Results: Both groups were analogous in patient's clinico-demographic characteristics such as average Age (46.4 vs. 45.1
years) and sex (female 19 vs. 17). There was no significant difference observed in wound infections among the different
groups ABG and NABG .
Conclusions: Antibiotics prophylaxis is not needed for low risk laparoscopic cholecystectomy


Keywords


Laparoscopic cholecystectomy. Prophylactic antibiotics.

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