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RESEARCH PRODUCT
Bacteremia after diagnostic conventional laparoscopy and minilaparoscopy: a prospective study in 100 patients.
Jürgen F. RiemannAxel EickhoffUlrich BurkhardtAnette BühlS VetterUwe Weickertsubject
AdultMalemedicine.medical_specialtyGroup iiConventional laparoscopyDiagnostic laparoscopyBacteremiaSedoanalgesiamedicineHumansProspective StudiesLaparoscopyProspective cohort studyGram-Positive Bacterial InfectionsAgedAged 80 and overmedicine.diagnostic_testbusiness.industryGastroenterologyMiddle Agedmedicine.diseaseLaparoscopesEndoscopySurgeryCulture MediaGram-Positive CocciBloodBacteremiaFemaleLaparoscopybusinessdescription
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.
year | journal | country | edition | language |
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2006-09-01 | Journal of clinical gastroenterology |