6533b85cfe1ef96bd12bc024

RESEARCH PRODUCT

Bacteremia after diagnostic conventional laparoscopy and minilaparoscopy: a prospective study in 100 patients.

Jürgen F. RiemannAxel EickhoffUlrich BurkhardtAnette BühlS VetterUwe Weickert

subject

AdultMalemedicine.medical_specialtyGroup iiConventional laparoscopyDiagnostic laparoscopyBacteremiaSedoanalgesiamedicineHumansProspective StudiesLaparoscopyProspective cohort studyGram-Positive Bacterial InfectionsAgedAged 80 and overmedicine.diagnostic_testbusiness.industryGastroenterologyMiddle Agedmedicine.diseaseLaparoscopesEndoscopySurgeryCulture MediaGram-Positive CocciBloodBacteremiaFemaleLaparoscopybusiness

description

Background/Goals: Diagnostic laparoscopy under sedoanalgesia is a valuable tool in the work-up of liver diseases and is helpful as a staging procedure. The rate of bacteremia caused by this procedure is unknown, in particular when performed as minilaparoscopy. Study: A 100 consecutive patients having undergone diagnostic laparoscopy carried out either conventionally (group I, n = 50) or as minilaparoscopy (group II, n - 50) were prospectively enrolled in this study. Blood cultures were drawn before and within 5 minutes after the procedure. Risk factors for bacteremia were evaluated. Results: Bacterial growth occurred in 4 blood cultures drawn immediately after laparoscopy. No patient developed fever or other signs of infection in the follow-up. Risk factors predisposing to bacteremia could not be identified. Conclusions: Conventional diagnostic laparoscopy under sedoanalgesia and minilaparoscopy are associated with a low rate of bacteremia as in diagnostic upper endoscopy.

10.1097/00004836-200609000-00008https://pubmed.ncbi.nlm.nih.gov/16940882