COMPARISON OF VARIOUS FACTORS IN ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY WITH AND WITHOUT ANTIMICROBIAL PROPHYLAXIS

Dr. Hitesh Kumar, Dr. A. K. Gupta, Dr. Dhruv Sharma, Dr. Shivani Sharma and Dr. Dharam Dev*

ABSTRACT

Background: Laparoscopic cholecystectomy has become the gold standard treatment for gallstone disease. Aim of the study is to compare the laparoscopic cholecystectomy with and without antibiotic prophylaxis in term of post operative SSIs, post operative pain, hospital stay and post operative recovery rate in low risk group patients. Method: This prospective study was carried out in the department of General Surgery Indira Gandhi Medical College Shimla (H.P) on patients admitted with diagnosis of cholelithiasis, over a period of 1 year from 1st August, 2018 to 31st July, 2019. total of 100 patients were included in the study, and were randomly divided into two groups. Group A was control group in which antibiotic was given and group B was case group in which no antibiotic was given. Result: There was no statistical difference in both the groups in terms of surgical site infection, post operative pain, hospital stay and post operative recovery rate regardless of the use of prophylactic antibiotics in low risk groups. Conclusion: As elective LC is a clean surgery, therefore In low-risk patients antibiotic prophylaxis does not seem to affect the incidence of post operative SSIs, post operative pain, hospital stay and post operative recovery rate in low risk group patients. It is justified only in high-risk patients.

Keywords: Prophylactic antibiotics, Laparoscopic Cholecystectomy. Surgical Site Infections.