Analysis of laparoscopic port site complications: A descriptive study

Karthik, S.; Augustine, Alfred Joseph; Madhavan, Shibumon M.; Pai, M. M. Manohara

doi:10.4103/0972-9941.110964

Cited by 72 publications

(39 citation statements)

References 21 publications

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“…There are numerous small vessels that can be injured as trocars passed through the abdominal wall. Bleeding from the smaller abdominal wall vessels can usually be avoided by avoiding to place trocars or the Veress needle into the location of the epigastric vessels and by transilluminating the abdominal wall prior to inserting secondary trocars (7).…”

Section: Discussionmentioning

confidence: 99%

Haemostatic Patch Envolving Laparoscopic Trocar to Stop Hemorrhage in the Port Site at the Beginning of the Operation

Lara¹,

Berges

Oehling³

et al. 2016

J Minim Invasive Surg Sci

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Background: The number of laparoscopic procedures done each year continues to rise substantially. Clinically significant hemorrhage from secondary port sites at laparoscopy is an uncommon but serious complication and can become unrecognized intraoperatively. Abdominal wall hemorrhage and bruising may complicate laparoscopic operative procedures. Methods: We propose an easy technical gesture to stop the bleeding at the port site in laparoscopic surgery. A simple technique is described to treat this complication. Conclusions: Our proposal is a simple gesture, easy to reproduce and, with no surgical time waste which we can obtain very good results in major bleeding difficult to control with traditional methods by that.

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Section: Discussionmentioning

confidence: 99%

Haemostatic Patch Envolving Laparoscopic Trocar to Stop Hemorrhage in the Port Site at the Beginning of the Operation

Lara¹,

Berges

Oehling³

et al. 2016

J Minim Invasive Surg Sci

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“…The complications ranged from PSI, bleeding, herniation, omental entrapment and port-site metastasis. 15 S Ghata et al in a prospective study on 100 patients assessing wound complication, they have found that most PSI is at the umbilicus, along with subcutaneous emphysema and port-site hernia. 6 One hundred and fifty patients were studied in an randomized clinical trial conducted by P Bucher et al, it showed similar rates of seroma and hematoma in both umbilical and other ports (3%), in conventional laparoscopic cholecystectomy, he has also shown a 0% hernial rate, yet his study lacks long-term follow-up in regards to hernia, showed no blinding or concealment and suffers selection bias in our opinion.…”

Section: Discussionmentioning

confidence: 99%

The Future of Suprapubic Single-incision Laparoscopic Appendectomy

Alyaqout¹,

Alghurair²,

Al-Tarrah³

2015

WJOLS

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Background: Suprapubic single-incision laparoscopic appendectomy (SSILA) has recently been studied by different authors, the targeted benefits were better cosmesis, less infection and possibly less hernia formation. Aim: To evaluate the feasibility and benefits of SSILA by reviewing the most recent data published to date, and identifying the pros and cons of its use against an umbilical incision. Materials and methods: A systematic electronic search based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement was conducted, articles from 2010 to 2015 were reviewed. Only Adult population was included in the study. Pre-, intra-and postoperative variables were included in our study, such as operative duration, wound infection, cosmetic outcome and pain. Results: Four studies were included and round up a total of 129 patients. Incision size varied from 1.5 to 2.5 cm, procedure was completed in all studied candidates, mean operative time was 52.9 minutes, no intraoperative complications were recorded, wound infection occurred in 0.015% of cases, mean hospital stay 1 to 4.7 days, pain and cosmetic outcome were difficult to interpret due to the way, their evaluation was conducted. Suprapubic single-incision laparoscopic appendectomy app ears to give a better operative view, follow-up duration 1 to 80 weeks. Most studies suffered from bias in all aspects. Conclusion: Finding a different access site in acute appendicitis may decrease the rate of port-site complications, and hence the morbidity associated with it. The suprapubic incision is an appealing alternative, with lack of strong evidence to support it. The available evidence supports its use, but randomized controlled trials have to be conducted to determine its fait.

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“…It requires different manual ability, advanced skills and experienced surgical team (13). In general, minimal access surgery carries out a series of complications of its own, which add to those well-known of open surgery, like port-site hernias (14). Nevertheless, it has been demonstrated similar complications rate between modern minimal invasive colectomy and traditional open technique, providing it is performed by experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%