Frequency of umbilicus site port hernia after laparoscopic procedure.

Abstract

The objective of this study is to determine the frequency of umbilicus port site hernia after laparoscopic procedure. Study Design: Prospective study. Setting: Minimal Invasive Surgical Centre and General Surgery Department LUMHS Jamshoro. Period: March 2015 to February 2017. Materials and Methods: During these two years all the patients visiting surgery department for laparoscopic Procedure. All patients regardless of age and both were undergo base line investigation and preoperative anesthetics fitness done were included. We identified 539 cases that matched our inclusion criteria. 10mm trocar was used for umbilical side and closed with J shaped vicryl #1. After surgery, these patients were followed-up for two years and assessed regularly for complications. Results: In our setup, laparoscopic procedures were performed in 539 patients. There were 83.48% (n=450) females and 16.51% (n=89) males who had laparoscopic procedures done. Among these, there were 442 cholecystectomies, 43 appendicectomies and 54 diagnostic laparoscopies. The highest number of patients visiting for laparoscopic cholecystectomies belong to the age range of 31-40 years. In 82% of the cases laparoscopic cholecystectomy was performed while in other cases laparoscopic appendicectomy and diagnostic laparoscopy was performed. After long term follow-up of these patients for a time period of two years, port site hernia was reported in 1.48% (n=8) patients. Conclusion: Port site hernia is a troublesome complication of laparoscopic procedures, although has much lesser rate than conventional procedures. Factors predisposing to development of port site hernia needs to be identified in all patients and steps should be taken to avoid complications. Large size and bladed trocars should not be used, and fascia closure is recommended at umbilical insertion site.

Port-site hernias in patients undergoing laparoscopic and/or robotic surgery: Can they be prevented?

“…But laparoscopic surgery is not without risks. Studies (Abbasi et al 2019, Holihan et al 2016) have shown that patients undergoing a laparoscopic or a robotic procedure can be at risk of developing a port-site hernia (PSH). Although PSH is a fairly rare complication, for an estimated 0.2% to 4.8% of patients, it can be severe, and eventually require a reoperation and a small bowel resection due to strangulation and/or perforation of the bowel (Chennamsetty et al 2015, Damani et al 2020).…”