Analysis of laparoscopic port site complications: A descriptive study

*, Somu Karthik and Augustine, Alfred Joseph and *, Mundunadackal Madhavan Shibumon and Pai, Manohar Varadaraya (2013) Analysis of laparoscopic port site complications: A descriptive study. Journal of Minimal Access Surgery, 9 (2). pp. 59-64.

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CONTEXT: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. AIMS: To determine themorbidity associated with ports at the site of their insertionin laparoscopic surgery and to identify risk factors forcomplications. SETTINGS AND DESIGN: Prospectivedescriptive study. MATERIALS AND METHODS: In thepresent descriptive study, a total of 570 patients whounderwent laparoscopic surgeries for various ailmentsbetween August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. STATISTICALANALYSIS USED: Descriptive statistical analysis wascarried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. RESULTS: Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). CONCLUSIONS: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit

Item Type: Article
Uncontrolled Keywords: Complication, laparoscopy, ports, port site bleed, port site hernia, port site infection
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 16 Apr 2014 07:31
Last Modified: 16 Apr 2014 07:31

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