There is still considerable controversy among surgeons regarding the most opportune moment for surgical intervention in the case of acute cholecystitis. For this reason, 628 patients cholecystectomized for acute cholecystitis from 1970 through 1990, were studied with specific reference to the bacteriologic aspects. During the first period, 1970-1977, there were two types of surgical intervention: during hospitalization after resolution of the acute episode, and during a second hospitalization 2 to 3 months later. During the second period, early cholecystectomy within 72 hours of the onset of symptoms in the first years, and 24-48 hours after, became the option. Emergency operations didn't reflect a surgical choice, but rather condition of necessity. To study the role of micro-organisms in acute cholecystitis cultures of gallbladder bile were taken during operation. Bactibilia progressively increases from 3rd to 8th-10th day followed by a slow decrease and then returns to its initial level after 4 weeks. The lowest rates of bactibilia, bacterial count and association, infectious postoperative complications and mortality were observed in early and delayed (2 months) cholecystectomies. Early operation is preferred for many reasons: any failure of conservative treatment, short hospitalization and less technical difficulty.
|Translated title of the contribution||Role of bactibilia in the onset and course of acute cholecystitis|
|Number of pages||5|
|Publication status||Published - 1992|
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