Umbilical Port-Site Complications In Laparoscopic Cholecystectomy: Role Of Topical Antibiotic Therapy

Main Category: Urology / Nephrology
Article Date: 19 Jun 2008 - 9:00 PDT

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UroToday.com - A total of 48 patients were randomized to receive topical rifamycin to the umbilical area 12 hours prior and 12, 24, 36, 48, and 72 hours following a standard laparoscopic cholycystectomy.

All patients received perioperative cephalosporins and a routine iodopovidone scrub. The topical antibiotic group had a statistically significant decrease in umbilical port site pain, use of analgesics, inflammation, postoperative port site leakage, and a trend toward a lower incidence of umbilical site dehiscence.

This appears to be an inexpensive and effective way to decrease umbilical port site problems.

Neri V, Fersini A, Ambrosi A, Tartaglia N, Valentino TP
JSLS. 2008 Apr-Jun;12(2):126-132
Reported by UroToday.com Medical Editor Ralph V. Clayman, MD

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