PORT SITE COMPLICATIONS IN LAPAROSCOPIC SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 67
Abstract
BACKGROUND Laparoscopic surgery is a new technique that has revolutionised the approach to surgery over the last two decades. However, it also has some demerits. Though the incidence is very low, port site complications are an important drawback of laparoscopic surgery. AIMS AND OBJECTIVES The study was conducted to evaluate the various port site complications in all types of patients undergoing laparoscopic procedure and to assess the magnitude of such complications. MATERIALS AND METHODS It was a prospective observational study on 117 patients admitted for elective laparoscopic procedure irrespective of age, sex, and weight during the study period. The study excluded patients that were lost during followup and those who had severe comorbid factors. The patients were observed for any port site complication during operation and in the immediate and remote postoperative period. For this, the patients were asked to come for weekly followup for the first month postoperatively and subsequently once every month for the next three months. Any complication found was noted down and the data gathered was analysed. RESULTS Out of the 117 patients, the study showed that 4 (3.42%) patients had bleeding from the epigastric port intra-operatively. In 2 patients, the bleeding stopped spontaneously, but in another 2 patients, the epigastric port needed extension to control the bleeding. 2 (1.71%) patients developed skin and soft tissue infection in the postoperative period while on follow up 1 (0.85%) patient developed hernia at umbilical port site and 1 (0.85%) patient was detected to have malignancy at epigastric port site through which the gall bladder was extracted. CONCLUSIONS There had been a tremendous growth in the use of minimally invasive techniques over the past two decades due to the developments in technology and the ever increasing demand by patients for quicker postoperative recovery. Port site complications found in our study were bleeding during intraoperative period, infection during postoperative period, and port site hernia and port site malignancy during followup. The complications except malignancy were easily managed and the magnitudes were low.
Authors and Affiliations
Surajit , Rajeeva
Keywords
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- EP ID EP154504
- DOI 10.14260/jemds/2016/1098
- Views 92
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