𝔖 Bobbio Scriptorium
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Intraoperative microscopy of bile—is it useful?

✍ Scribed by P. Gallagher; G. Ostick; D. Jones; P. F. Schofield; D. E. F. Tweedle

Publisher
John Wiley and Sons
Year
1982
Tongue
English
Weight
257 KB
Volume
69
Category
Article
ISSN
0007-1323

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✦ Synopsis

Abstract

Direct microscopy of the bile was performed during cholecystectomy in 111 patients in an attempt to identify those with a high risk of wound infection. Bacteria were identified in 23 patients, 11 of 83 undergoing cholecystectomy alone and 12 of 28 undergoing exploration of the common bile duct (P < 0·01). These 23 patients were randomly allocated to an antibiotic group or a control group; there was one wound infection in the antibiotic group and two in the control group. A total of 14 patients developed wound sepsis. Infection was more likely if the common bile duct was explored (6 of 28) rather than cholecystectomy alone (8 of 83). There was a poor correlation between microscopy and culture of the bile for bacteria and there was no increase in sepsis when bacteria were observed on microscopy. We were not able to identify a high risk group of patients by intraoperative microscopy of bile.

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