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Surgical infection in a videolaparoscopic cholecystectomy when using peracetic acid for the sterilization of

Edluza Maria Viana Bezerra de Melo1, Cristiano de Souza Leão, Luciana Marques Andreto

  • 1Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Pernambuco, Brasil. edluzabmelo@hotmail.com

Revista Do Colegio Brasileiro De Cirurgioes
|August 6, 2013
PubMed
Abstract

Insights

Surgical site infection (SSI) rates were evaluated in patients undergoing laparoscopic cholecystectomy using peracetic acid sterilization. The study found a low SSI frequency of 0.8%, suggesting peracetic acid may be a viable sterilization method.

Area of Science:

  • Surgical Infection Prevention
  • Sterilization Technologies
  • Laparoscopic Surgery

Background:

  • Surgical site infections (SSIs) are a significant concern in laparoscopic cholecystectomy.
  • The choice of sterilization method for surgical instruments impacts infection rates.
  • Peracetic acid is a chemical sterilant used for medical devices.

Purpose of the Study:

  • To determine the frequency of surgical site infection (SSI) in patients undergoing laparoscopic cholecystectomy.
  • To assess the efficacy of peracetic acid in sterilizing instruments for this procedure.

Main Methods:

  • Retrospective, cohort, descriptive, cross-sectional study design.
  • Observation of pre- and intraoperative SSI prevention criteria and indicators.
  • Epidemiological surveillance through scheduled outpatient visits post-discharge.

Main Results:

  • A total of 247 patients were included in the study.
  • Two cases of surgical site infection (0.8%) were reported.
  • Infections observed required antibiotic therapy or clinic follow-up.

Conclusions:

  • The low SSI rate suggests peracetic acid sterilization may be effective for laparoscopic cholecystectomy instruments.
  • Ethical considerations currently preclude prospective studies due to peracetic acid's ban for certain instrument types.
  • Further case-control studies comparing peracetic acid with ethylene oxide sterilization are recommended.

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