MTP3.08 Critical review of Port Site Infections (PSIs) after Laparoscopic Surgery

Aims The aim of study was to analyze PSIs which occurred after laparoscopic or robotic surgeries. We attempted to identify the risk-factors, what worked in their management and areas of improvement in order to proffer recommendations. Methods It is a retrospective observational study including adult patients with infections following laparoscopic/robotic procedures from January 2024 to October 2024 in a UK general hospital. 32 patients were included in the study. Analysis of the patient demographics, details of index surgery, antibiotic use, multidisciplinary involvement, and treatment outcomes was done using Excel sheet Results PSIs comprised 50% of infections following laparoscopic/robotic surgeries. Women (68.75%) were more affected than men (31.25%) with a mean age of 51.6 and 52 respectively. The most common risk factor was Obesity (56.25%). Laparoscopic cholecystectomy was the most implicated surgery (68.75%). 87.5% had early PSI with the same amount requiring admission. 93.75% of all patients had superficial PSI most affecting the umbilical port (87.5%). Majority (56.25%) of patients had wound debridement and or I and D as part of their care with the mean antibiotic duration being 8.3days. Most patients had complete symptom resolution whilst 25% were not followed up. Conclusion We surmised that PSIs prevent a quick return to normal life almost always requiring re-admission, further surgical procedures and a period of follow-up. We therefore recommend a formation of a local guideline in the management of PSIs and recommend follow-ups for all patients managed for PSIs