A Study of Post Laparoscopic Port Related Complications

Abstract

BACKGROUND Rapid growths in health care technology have given the surgeon the power of not only treating diseases surgically but also limiting surgical invasiveness. Laparoscopic surgeries are preferred over open surgeries, but laparoscopic surgery is not a panacea to all the problems associated with open surgery. It has its own problems and complications. The present study is planned to assess the post laparoscopic surgery port related complications. MATERIALS AND METHODSThe present study was a prospective descriptive study conducted in the Department of General Surgery at Era's Lucknow Medical College and Hospital over a period of eighteen months. A total of 310 patients were included in the study and followed up for a period of three months from the day of surgery. RESULTSOut of 310 patients enrolled in the study, complications were observed only in 8 (2.58%). Port site infections were present in 6 (1.94%) cases while metastasis and hypertrophic scar was observed in 1 (0.32%) case each. CONCLUSIONThe rate of port-site complication in the present study was found to be 2.58%. The study identified older age, smoking habit and diabetes as the potential risk factors affecting the complication rates. [1] and an increase in frequency of laparoscopic abdominal surgery made it common by 1990. [2] Laparoscopic surgeries are preferred over general surgeries because of lower cost, lesser pain and scarring, faster convalescence, lesser hospital stay and overall low cost [3,4] besides these advantages complications are by far very rare. [5] Common complications include infection, incisional hernia, bleeding, etc.Reusable metallic or disposable plastic trocars are inserted through small skin incisions or ports. These ports form the portal of entry to perform the surgical procedure by means of specially devised instruments and telescope.