Chronic granulomatous inflammation of the abdominal wall after laparoscopy: a look at high level disinfection

Port site infections after laparoscopic surgery are a known complication and take away a lot of benefits attributed to the minimal access approach. Detecting the flora responsible is essential and atypical mycobacteria must also be considered. This case series is a compilation of the accounts of ten different patients with chronic granulomatous inflammation of the anterior abdominal wall presenting with port site discharging sinuses and lumps after laparoscopic surgery. Atypical mycobacterial infections must be considered in patients with persistent wound infections after laparoscopic surgery and warrants a revision of the high level disinfection [HLD] process.