E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan.

Abstract
Background: Surgical site infections (SSI) formerly termed surgical wound infection, are one of the most frequent post-operative infectious complication. Patients with SSI had longer and costlier hospitalization than patients who didn't have such infection. Laparoscopic surgery as a minimally invasive surgery have good outcome regarding SSI as compared to open procedure.

Aims & Objective: To compare infection rate after laparoscopic versus open surgery.

Material and Methods: A retrospective analysis of large number of cases in SMIMER Hospital was conducted. Patients who underwent laparoscopic (n=4500) or open (n=1500) appendicectomy, cholecystectomy, anti-reflux surgery, or gastric bypass from 2009 to 2012 were included in the analysis. The main outcome measure was inpatient diagnosis of SSI (Surgical Site Infection) after laparoscopic and open surgery.

Results: During 36 month of study period total of 6000 patient underwent one of four selected procedure. Overall, the incidence of SSI was significantly lower in laparoscopic (100 of 4500, 2.0%) than in open (150 of 1500, 10%) surgery (P<0.01). Largely, laparoscopic techniques offer a protective effect against SSI. Patient treated with laparoscopy were 76% less likely to experience SSI. Odds Ratio (OR), 0.30; 95% Confidence Interval (CI), 0.28-0.34.

Conclusion: Patient treated with laparoscopic procedure is less likely to experience SSI. After stratification by severity of illness, wound classification & admission status, laparoscopic techniques shows a protective effect against SSI.

Key words: Laparoscopy, Open surgery, Wound infection, Surgical Site Infection(SSI).


 
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PMid:16027336

How to Cite this Article
Pubmed Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. Int J Med Sci Public Health. 2013; 2(1): 125-128. doi:10.5455/ijmsph.2013.2.125-128


Web Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. http://www.ijmsph.com/?mno=28384 [Access: January 24, 2020]. doi:10.5455/ijmsph.2013.2.125-128


AMA (American Medical Association) Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. Int J Med Sci Public Health. 2013; 2(1): 125-128. doi:10.5455/ijmsph.2013.2.125-128



Vancouver/ICMJE Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. Int J Med Sci Public Health. (2013), [cited January 24, 2020]; 2(1): 125-128. doi:10.5455/ijmsph.2013.2.125-128



Harvard Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan (2013) Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. Int J Med Sci Public Health, 2 (1), 125-128. doi:10.5455/ijmsph.2013.2.125-128



Turabian Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. 2013. Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. International Journal of Medical Science and Public Health, 2 (1), 125-128. doi:10.5455/ijmsph.2013.2.125-128



Chicago Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. "Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections." International Journal of Medical Science and Public Health 2 (2013), 125-128. doi:10.5455/ijmsph.2013.2.125-128



MLA (The Modern Language Association) Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan. "Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections." International Journal of Medical Science and Public Health 2.1 (2013), 125-128. Print. doi:10.5455/ijmsph.2013.2.125-128



APA (American Psychological Association) Style

Sudhir K Navadiya, Yagneshkumar L Vaghani, Harish D Chauhan (2013) Comparative study of laparoscopic surgery and open surgery in regards to surgical-site infections. International Journal of Medical Science and Public Health, 2 (1), 125-128. doi:10.5455/ijmsph.2013.2.125-128





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