Use of gentamicin in the treatment of access-port infections.

Abstract

BACKGROUND:

A therapy concept for access-port infections is presented.

METHODS:

Between January 2001 and May 2005, 556 adjustable gastric bands were placed laparoscopically, and access-port infection data were analyzed. 6 early infections and 1 late infection occurred. 2 early infections were treated successfully with placement of a PMMA-chain at the port-site--without port removal. 2 other early infections were treated successfully with port removal and later reconnection; however, infection recurred at the access-port soon after reconnection, so a PMMA-chain was positioned around the port. The last 2 early infections were treated successfully by port removal and later connection of a new access-port surrounded by a PMMA-chain. The late access-port infection appeared to be caused by gastric erosion.

RESULTS:

Complete healing was achieved in all cases of early infection, and follow-up revealed no complications with subsequent band adjustments. The gastric erosion required removal of the entire banding system.

CONCLUSION:

For early port infection, the placement of a PMMA-chain around the subcutaneous port appears to be a safe and effective approach that is less invasive than the usual port removal under general anesthesia. Placing the PMMA-chain is a rapid and simple procedure that allows retention of the original access-port. Once local healing is complete, the port can then be accessed easily and safely for band inflation.

• Authors: S Speybrouck, C Aelvoet, T Tollens, J P Vanrykel
• Journal: Obesity surgery (Obes Surg) Vol. 15 Issue 9 Pg. 1278-81 (Oct 2005) ISSN: 0960-8923 [Print] United States
• PMID: 16259887 (Publication Type: Journal Article)

Chemical References

• Anti-Bacterial Agents
• Gentamicins
• Methylmethacrylates
• gentamicin-polymethylmethacrylate bead

Topics

• Abdominal Wall
• Adult
• Anti-Bacterial Agents (therapeutic use)
• Female
• Gastroplasty (instrumentation)
• Gentamicins (administration & dosage, therapeutic use)
• Humans
• Laparoscopy (adverse effects)
• Male
• Methylmethacrylates (administration & dosage)
• Middle Aged
• Obesity, Morbid (surgery)
• Punctures
• Surgical Wound Infection (drug therapy)