Micro-cluster granulomatous laparoscopic port/surgical site infection. TOFURA management manual 2023

      Аннотация: In our experience we have found that surgical site infection is a very troublesome chapter in our surgical practice. Laparoscopic surgery is the most popular modality of surgery now-a-days. We found a special variety of non- tubercular granulomatous infection since long at the surgical site, quite different from common surgical infection. Moreover, most often this infection is refractory to conventional dose and duration of common antibiotics. We have termed this variety of infection as “Micro-cluster infection”. When this occurs as laparoscopic port, we term this as “Micro-cluster port site infection”. Micro-cluster infections are reputation killing situations both for the surgeons and hospitals. This is a leading cause of hospital morbidity and patients usually suffer a lot. This not only increases the treatment cost of the patients, but also increases the cost of the hospital. Our experience suggests that this also has medico-legal aspects. So many obvious and hidden factors are related to this troublesome condition. Therefore, to manage the situation properly, we must have a guideline to reduce the magnitude of the problem.

Ключевые слова: Micro-cluster infection, PSI, port site infection, Micro-cluster PSI, granulomatous infection, laparoscopic port infection, non-tuberculour infection, surgical site infection, TOFURA management manual 2023, management manual, treatment manual, treatment guideline, management guideline, Faruquzzaman, 250 Beded Razia Naser Zila Hospital Bagerhat, Bangladesh, Incidence & statistics, Category of surgical site infection, Surgical classification of wound, Grading of surgical site infection, Risk factors, Conventional classification of port site infection, Associated microbes (Evidence based surgery), History of outbreak of micro-cluster port site infection, Risk factors of micro-cluster infection, Clinical presentation of micro-cluster infection, Event & risk, Course and time, Patho-physiology, Patho-physiology of tubercular granulomatous micro-cluster infection, Histopathological feature, Antibiotic Sensitivity, Evidence based surgery (Treatment), Treatment pathway, Medico-legal aspect of micro-cluster infection, Prevention guideline, Images of surgical site infection, Observation, Statistics, results, discussion, outcome, References, Recurrence