Is umbilical flora responsible for wound infection after laparoscopic surgery?
Abstract
To our knowledge, the association of umbilical flora and infections has not been studied yet. The aim of this study was to identify the causative agents for trocar site infections and to highlight whether there is association between umbilical flora and trocar site infections. One hundred consecutive patients who had undergone laparoscopic surgery were studied. Microbiological samples were taken from the umbilicus before (group 1) and after (group 2) antisepsis with povidone-iodine. Microbiological assessment was done for wounds suspected to be infected, and the wounds with positive cultures were classified as group 3. The incidence of wound infection was 8%. One hundred percent of the infections were associated with the extraction trocar. Eighty-nine percent of all of the infections occurred after laparoscopic cholecystectomy, whereas 11% occurred after laparoscopic appendectomy. The micro-organisms in group 3 did not belong to the skin flora, unlike the micro-organisms in groups 1 and 2, but hospital-acquired pathogens were responsible for the infections. The umbilical flora and the bile are not the source of the surgical site infections after laparoscopic surgery in our study despite the considerations in the literature.
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The umbilical port-site infection rate in laparoscopic surgery is 8%, with 89% of infections following laparoscopic cholecystectomy and 11% following laparoscopic appendectomy.
“According to reports, the umbilical PSI rate in LS is 8%, with 89% of infections following laparoscopic cholecystectomy and 11% following laparoscopic appendectomy [32].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [32]
Cites
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Port site infection in laparoscopic surgery: a review of its management
Sasmal, P. K. (2015) · World Journal of Clinical Cases · doi:10.12998/wjcc.v3.i10.864 · Cited by 100 · see citing works
Insights Into Laparoscopic Port Site Complications: A Comprehensive Review
Chandra J, N., Manivasagam, S. S., Choudhary, S., Manocha, P., & Reddy, B. H. (2024) · Cureus · doi:10.7759/cureus.63431 · Cited by 5 · see citing works
“According to reports, the umbilical PSI rate in LS is 8%, with 89% of infections following laparoscopic cholecystectomy and 11% following laparoscopic appendectomy [32].”
Background
- Authors
- Hamzaoglu, I., Baca, B., B??ler, D. E., Polat, E., & ??zer, Y.
- Affiliations
- Istanbul University-Cerrahpaşa (TR)
- Corresponding author
- Hamzaoglu, Ismail
- Baca, Bilgi
- Venue
- Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
- Published
- 2004-10
- Volume
- 14
- Issue
- 5
- Pages
- 263-267
- ISSN
- 1530-4515 (ISSN-L)
- OpenAlex
- W2068857710
- Cited by
- 52
- References
- 16
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 10 · 2020: 2 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 3 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Surgical Laparoscopy Endoscopy & Percutaneous Techniques (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- surgical site infection, laparoscopic surgery, laparoscopic cholecystectomy, laparoscopic appendectomy, nosocomial pathogens, bile contamination, skin microbiome
- MeSH terms
- Adult, Appendectomy, Equipment Contamination, Female, Humans, Male, Middle Aged, Laparoscopy, Surgical Instruments, Surgical Wound Infection, Umbilicus, Cholecystectomy, Laparoscopic
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