Title: A Clinical Study on Complications of Port Site in Laparoscopic Surgeries at GGH

Authors: Dr Namburi Sai Venkatesh, Dr Pula Lalithya, Dr SK.Sufiya, Dr M.Govind Naik

 DOI: https://dx.doi.org/10.18535/jmscr/v11i12.05

Abstract

The study aims to assess the morbidity associated with ports at the site of their insertion in laparoscopic surgery, to define, control risk factors for complications and their management. All patients who underwent laparoscopic surgeries, between 2022 and 2023, at GGH, Guntur, in the Department of General Surgery after receipt of written consent were included, and port sites were monitored for complications. Data collected and analysed by various statistical methods. Of the 100 patients undergoing laparoscopic surgery, 36 had developed complications directly linked to the port-site during a minimum follow-up of two-year period; port site discharge (PSD) was the most frequent, followed by port site infection, bleeding.

References

  1. Ahmed G, Duffy JM, Phillips K, Watson Laparoscopic entry technique. Cochrane Database Syst Rev. 2008;2:CD006583.
  2. Jansen FW, Kolkman W, Bakkum EA, de Kroon CD, Trimbos-Kemper TC, Trimbos JB. Complications of laparoscopy: an inquiry about closed-versus open-entry technique. American journal of obstetrics and gynecology. 2004 Mar 1;190(3):634-8.
  3. Jansen FW, Kapiteyn K, Trimbos‐Kemper T, Hermans J, Trimbos Complications of laparoscopy: a prospective multicentre observational study. BJOG: An International Journal of Obstetrics & Gynaecology. 1997 May;104(5):595-600.
  4. Azziz R. Advantages and disadvantages of operative endoscopy. InPractical Manual of Operative Laparoscopy and Hysteroscopy 1992 (pp. 1-6). Springer, New York, NY.
  5. Kadar N, Reich H, Liu CY, Manko GF, Gimpelson Incisional hernias after major laparoscopic gynecologic procedures. American journal of obstetrics and gynecology. 1993 May 1;168(5):1493-5.
  6. Chiu CC, Lee WJ, Wang W, Wei PL, Huang MT. Prevention of trocarwound hernia in laparoscopic bariatric operations. Obesity 2006 Jul;16(7):913-8. 73
  7. Mc Gurgan P′ Donovan P. Optical versus as an entry technique. Endose. 1999;8:379-92.
  8. Mettler L, Schmidt EH, Frank V, Semm K. Optical trocar systems: laparoscopic entry and its complications (a study of cases in Germany). Gynaecological Endoscopy. 1999 Dec;8(6):383-9.
  9. Noblett SE, Woodcock Port-site pyoderma gangrenosum–a rare complication of surgical trauma. The Annals of The Royal College of Surgeons of England. 2009 Nov;91(8):665-6.
  10. Wexner SD, Cohen Port site metastases after laparoscopic colorectal surgery for cure of malignancy. British journal of surgery.1995 Mar;82(3):295-8.
  11. Cirocco WC, Schwartzman A, Golub Abdominal wall recurrence after laparoscopic colectomy for colon cancer. Surgery. 1994 Nov 1;116(5):842-6.
  12. Shindholimath VV, Seenu V, Parshad R, Chaudhry R, Kumar Factors influencing wound infection following laparoscopic cholecystectomy. Tropical gastroenterology: official journal of the Digestive Diseases Foundation. 2003 Apr 1;24(2):90-2

Corresponding Author

Dr Pula Lalithya

Post Graduate, General Surgery