DOI: 10.36347/sasjs.2022.v08i08.009

Pages: 547-552

Introduction: Elective Laparoscopic cholecystectomy is the operation of choice in treating symptomatic gallstone disease. The impact of patient-related risk factors on the incidence of postoperative infection after cholecystectomy is relatively unknown. Cholecystectomy is one of the world's most common abdominal surgical procedures. In most cases, it is performed without significant risk of severe complications, although bile leakage and intraoperative contamination may lead to surgical wound infection. The study aimed to find out the influence of different risk factors on the occurrence of WI after elective laparoscopic cholecystectomies. Methods: A retrospective observational study was carried out with patients diagnosed with cholelithiasis in regular follow-up at the department of surgery in Khulna Medical College and Hospital, Khulna, Bangladesh, from January 2020 to December 2021. Result: The risk factors; 34(80.95%) patients were females, and only 8(19.05%) were male. It shows that smoking and diabetes are the most common risk factors. The prophylactic antibiotic therapy used in the treatment was 95% of patients were given Cefazolin, only one patient was given Ceftriaxone + Metronidazole, 10(23.81%) patients were given ABP with no indication, and only one patient was not given any ABP. According to the statistical analysis of risk factors for the wound in faction, males are more likely to be infected than females. Conclusion: Patients who undergo e LC with certain risk factors do not benefit from using ABP. Antibiotics should be reserved for complex and urgent cases with a high risk of infection. More extensive studies with a control group to evaluate the effectiveness of antibiotic prophylaxis are needed to further support these recommendations.