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Port Site Infection

MedGen UID:
888296
•Concept ID:
C4054168
•
Disease or Syndrome

Definition

An infection at an anatomic location used for vascular access. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPort Site Infection

Professional guidelines

PubMed

Laparoscopic treatment of hepatic hydatid cyst.
Rooh-ul-Muqim, Kamran K, Khalil J, Gul T, Farid S
J Coll Physicians Surg Pak 2011 Aug;21(8):468-71. PMID: 21798132
Safety and efficacy of bidirectional chemotherapy for treatment of patients with peritoneal dissemination from gastric cancer: Selection for cytoreductive surgery.
Yonemura Y, Endou Y, Shinbo M, Sasaki T, Hirano M, Mizumoto A, Matsuda T, Takao N, Ichinose M, Mizuno M, Miura M, Ikeda M, Ikeda S, Nakajima G, Yonemura J, Yuuba T, Masuda S, Kimura H, Matsuki N
J Surg Oncol 2009 Sep 15;100(4):311-6. doi: 10.1002/jso.21324. PMID: 19697437

Recent clinical studies

Etiology

Hand port-site infection after hand-assisted laparoscopic donor nephrectomy for living-donor kidney transplantation: a retrospective cohort study.
Hiramitsu T, Tomosugi T, Futamura K, Okada M, Goto N, Ichimori T, Narumi S, Uchida K, Watarai Y
PeerJ 2022;10:e14215. Epub 2022 Oct 17 doi: 10.7717/peerj.14215. PMID: 36275464Free PMC Article
Assessment of Modified Trans-umbilical Port Placement in Laparoscopy.
Kc K, Shrestha M
J Nepal Health Res Counc 2022 Jun 2;20(1):173-179. doi: 10.33314/jnhrc.v20i01.3937. PMID: 35945872
Umbilical port versus epigastric port for gallbladder extraction in laparoscopic cholecystectomy: A systematic review and meta-analysis of randomized controlled trials with trial sequential analysis.
Kulkarni AA, Sharma G, Deo KB, Jain T
Surgeon 2022 Jun;20(3):e26-e35. Epub 2021 Apr 19 doi: 10.1016/j.surge.2021.02.009. PMID: 33888427
Meta-analysis and trial sequential analysis of three-port vs four-port laparoscopic cholecystectomy (level 1 evidence).
Hajibandeh S, Finch DA, Mohamedahmed AYY, Iskandar A, Venkatesan G, Hajibandeh S, Satyadas T
Updates Surg 2021 Apr;73(2):451-471. Epub 2021 Feb 15 doi: 10.1007/s13304-021-00982-z. PMID: 33587285
Day-case laparoscopic cholecystectomy.
Al-Qahtani HH, Alam MK, Asalamah S, Akeely M, Ibrar M
Saudi Med J 2015 Jan;36(1):46-51. doi: 10.15537/smj.2015.1.9738. PMID: 25630004Free PMC Article

Diagnosis

Extra Biliary Complications of Laparoscopic Cholecystectomy: Experience from a Study of 1420 Cases.
Haque MR, Hossain SS, Khan L
Mymensingh Med J 2023 Jul;32(3):812-817. PMID: 37391979
Umbilical port versus epigastric port for gallbladder extraction in laparoscopic cholecystectomy: A systematic review and meta-analysis of randomized controlled trials with trial sequential analysis.
Kulkarni AA, Sharma G, Deo KB, Jain T
Surgeon 2022 Jun;20(3):e26-e35. Epub 2021 Apr 19 doi: 10.1016/j.surge.2021.02.009. PMID: 33888427
Persistent Laparoscopic Port-site Discharging Sinus: A Rare Case of Mycobacterium senegalense Infection.
Muhammed Niyas VK, Keri VC, Singh BK, Kumar P
Int J Mycobacteriol 2020 Jan-Mar;9(1):100-102. doi: 10.4103/ijmy.ijmy_189_19. PMID: 32474498
Retrieval of Gallbladder Via Umbilical Versus Epigastric Port Site During Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis.
Hajibandeh S, Hajibandeh S, Clark MC, Barratt OA, Taktak S, Subar D, Henley N
Surg Laparosc Endosc Percutan Tech 2019 Oct;29(5):321-327. doi: 10.1097/SLE.0000000000000662. PMID: 31033631
Port-site infections by nontuberculous mycobacterium: A retrospective clinico-microbiological study.
Ghosh R, Das S, De A, Kela H, Saha ML, Maiti PK
Int J Mycobacteriol 2017 Jan-Mar;6(1):34-37. doi: 10.4103/2212-5531.201901. PMID: 28317802

Therapy

Hand port-site infection after hand-assisted laparoscopic donor nephrectomy for living-donor kidney transplantation: a retrospective cohort study.
Hiramitsu T, Tomosugi T, Futamura K, Okada M, Goto N, Ichimori T, Narumi S, Uchida K, Watarai Y
PeerJ 2022;10:e14215. Epub 2022 Oct 17 doi: 10.7717/peerj.14215. PMID: 36275464Free PMC Article
Assessment of Modified Trans-umbilical Port Placement in Laparoscopy.
Kc K, Shrestha M
J Nepal Health Res Counc 2022 Jun 2;20(1):173-179. doi: 10.33314/jnhrc.v20i01.3937. PMID: 35945872
Umbilical port versus epigastric port for gallbladder extraction in laparoscopic cholecystectomy: A systematic review and meta-analysis of randomized controlled trials with trial sequential analysis.
Kulkarni AA, Sharma G, Deo KB, Jain T
Surgeon 2022 Jun;20(3):e26-e35. Epub 2021 Apr 19 doi: 10.1016/j.surge.2021.02.009. PMID: 33888427
Port-site infection due to nontuberculous mycobacteria following laparoscopic surgery.
Piyumal Samaranayake WAM, Kesson AM, Karpelowsky JS, Outhred AC, Marais BJ
Int J Mycobacteriol 2020 Jul-Sep;9(3):231-238. doi: 10.4103/ijmy.ijmy_32_20. PMID: 32862154
Day-case laparoscopic cholecystectomy.
Al-Qahtani HH, Alam MK, Asalamah S, Akeely M, Ibrar M
Saudi Med J 2015 Jan;36(1):46-51. doi: 10.15537/smj.2015.1.9738. PMID: 25630004Free PMC Article

Prognosis

Topical antibiotics in the prevention of port-site infection after elective day care laparoscopic cholecystectomy.
Sharma N, Kaman L, Khare S, Dahiya D, Gupta A, Thakur UK, Sethi S
Indian J Pharmacol 2024 Jan 1;56(1):16-19. Epub 2024 Mar 8 doi: 10.4103/ijp.ijp_882_20. PMID: 38454584Free PMC Article
Comparative Study of the Incidence of Port Site Infection in Disposable Ports and Reprocessed Disposable Ports in Laparoscopic Cholecystectomy.
Jokar M, Larti N, Zarei M, Melali H, Zabihirad J, Maraki F, Jazini Dorcheh S, Kelidari B
Surg Laparosc Endosc Percutan Tech 2022 Dec 1;32(6):650-654. doi: 10.1097/SLE.0000000000001104. PMID: 36223293
Laparoscopic Access: Direct Trocar Insertion Versus Open Technique.
Kaistha S, Kumar A, Gangavatiker R, Br S, Sisodiya N
J Laparoendosc Adv Surg Tech A 2019 Apr;29(4):489-494. Epub 2019 Jan 10 doi: 10.1089/lap.2018.0408. PMID: 30628857
Percutaneous Arthroscopic Calcaneal Osteosynthesis: A Minimally Invasive Technique for Displaced Intra-Articular Calcaneal Fractures.
Pastides PS, Milnes L, Rosenfeld PF
J Foot Ankle Surg 2015 Sep-Oct;54(5):798-804. Epub 2015 May 8 doi: 10.1053/j.jfas.2014.12.033. PMID: 25960056
Differences in early complications between circular and linear stapled gastrojejunostomy in laparoscopic gastric bypass.
Sima E, Hedberg J, Ehrenborg A, Sundbom M
Obes Surg 2014 Apr;24(4):599-603. doi: 10.1007/s11695-013-1139-0. PMID: 24323525

Clinical prediction guides

Topical antibiotics in the prevention of port-site infection after elective day care laparoscopic cholecystectomy.
Sharma N, Kaman L, Khare S, Dahiya D, Gupta A, Thakur UK, Sethi S
Indian J Pharmacol 2024 Jan 1;56(1):16-19. Epub 2024 Mar 8 doi: 10.4103/ijp.ijp_882_20. PMID: 38454584Free PMC Article
Meta-analysis and trial sequential analysis of three-port vs four-port laparoscopic cholecystectomy (level 1 evidence).
Hajibandeh S, Finch DA, Mohamedahmed AYY, Iskandar A, Venkatesan G, Hajibandeh S, Satyadas T
Updates Surg 2021 Apr;73(2):451-471. Epub 2021 Feb 15 doi: 10.1007/s13304-021-00982-z. PMID: 33587285
Port-site infection due to nontuberculous mycobacteria following laparoscopic surgery.
Piyumal Samaranayake WAM, Kesson AM, Karpelowsky JS, Outhred AC, Marais BJ
Int J Mycobacteriol 2020 Jul-Sep;9(3):231-238. doi: 10.4103/ijmy.ijmy_32_20. PMID: 32862154
Pre-Operative Skin Antisepsis with Chlorhexidine Gluconate and Povidone-Iodine to Prevent Port-Site Infection in Laparoscopic Cholecystectomy: A Prospective Study.
Spaziani E, Di Filippo A, Orelli S, Fiorini F, Spaziani M, Tintisona O, Torcasio A, De Cesare A, Picchio M
Surg Infect (Larchmt) 2018 Apr;19(3):334-338. Epub 2018 Feb 9 doi: 10.1089/sur.2017.269. PMID: 29425078
Frequency and prevention of laparoscopic port site infection.
Taj MN, Iqbal Y, Akbar Z
J Ayub Med Coll Abbottabad 2012 Jul-Dec;24(3-4):197-9. PMID: 24669653

Recent systematic reviews

Umbilical port versus epigastric port for gallbladder extraction in laparoscopic cholecystectomy: A systematic review and meta-analysis of randomized controlled trials with trial sequential analysis.
Kulkarni AA, Sharma G, Deo KB, Jain T
Surgeon 2022 Jun;20(3):e26-e35. Epub 2021 Apr 19 doi: 10.1016/j.surge.2021.02.009. PMID: 33888427
Retrieval of Gallbladder Via Umbilical Versus Epigastric Port Site During Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis.
Hajibandeh S, Hajibandeh S, Clark MC, Barratt OA, Taktak S, Subar D, Henley N
Surg Laparosc Endosc Percutan Tech 2019 Oct;29(5):321-327. doi: 10.1097/SLE.0000000000000662. PMID: 31033631

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