Clinical analysis of intraoperative bile in hepatopancreatic and biliary surgeries

Abstract

Introduction: Around the globe among the commonest performed surgeries the hepaticopancreatic and biliary surgies are one of them. However these are still associated with serious infections. The presence of bacteria at the time of surgery predisposes to septic complications. Materials and Methods: This study was a prospective study conducted in Department of Surgical Gastroenterology at Sher-i-Kashmir Institute of Medical Sciences from September 2016 to September 2018. Results: The most common age group in our study included middle aged patients i.e 35-44 years of age, out of 50 patients 62% had positive intraoperative bile culture. The most common organism found in our study was: E coli and k. pneumonia in 33.9%, E coli and Enterococcus faecalis 21%, The monomicrobial infection was due to E coli 11.3%, Preoperative stented patients had 88% of bactibilia. Conclusion: The preoperative biliary stenting is associated with increased risk of bactibilia and bactibilia leads to increase in postoperative morbidity in pancreatic biliary surgeries. E coli and kleibsella predominated in bile. Similar microorganisms predominate in wound cultures and intraabdominal collections. E coli were found to be resistant to most of the commonest drugs.