Laparoscopic port site complications: a study in a tertiary care centre

Ravindranath, G. G.; Reddy, S. V. Rama Mohan

doi:10.18203/2349-2902.isj20162207

Cited by 6 publications

(9 citation statements)

References 14 publications

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“…In the present study too, all these factors prevailed as reusable trocars were used in all the cases for cost effective practices in our rural government centre. The most common port involved in PSI was the epigastric port (75%) followed by umbilical port in the present study which surprisingly differs from other studies, where umbilical port was the commonest site for PSI [5,6] . It may be due to our standard practice of gallbladder specimen extraction through 10 mm epigastric port.…”

Section: Resultscontrasting

confidence: 94%

“…Port site infection is not an uncommon entity in laparoscopic cholecystectomy. It was reported in 3.71% cases in the present study which is equivalent with other studies [4,6,8] (1.4 -6.7%) It may be accredited to use of reusable trocars, improper sterilisation techniques, associated comorbidities and spillage of bile and stones while retrieving the gallbladder [11] . In the present study too, all these factors prevailed as reusable trocars were used in all the cases for cost effective practices in our rural government centre.…”

Section: Resultssupporting

confidence: 89%

“…Lateral ports were infected in only 9.38% cases in present study which is likewise other studies. [5,6] Smaller port sizes (5mm) and less exposure to intraoperative contamination might be the key factors due to the common universal practice of avoiding these ports for specimen extraction.…”

Section: Resultsmentioning

confidence: 99%

“…It has been reported in 1.4 -6.7% of the cases. [4,[6][7][8] It may be accredited to use of reusable trocars, practice of improper sterilisation techniques, associated comorbidities and spillage of bile and stones while retrieving the gallbladder. Although we are enthusiastically basking art of laparoscopy in our newly established institute but Still, there exist some worries about the safety and overall outcome of laparoscopic cholecystectomy both amongst patients and budding surgeons.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Infection of port holes may lick the coveted goals: A surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy

Sangwan¹,

Sangwan²,

Garg³

et al. 2019

Int. J. Surg. Sci.

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Background: Port site infection is not an uncommon entity in laparoscopic cholecystectomy. It has been reported in 1.4 -6.7% of the cases. Patients and methods: It is a surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy operated in our institute. Results: Females (85%) predominated over the males (15%). Mean age was 42.71 years with a standard deviation of 13.79 years. About 1/3rd (34.85%) of the cases in the present study were also suffering from an associated comorbid illness. Port site infection (PSI) was noticed in 3.71% (n=26) of the cases, it was only a superficial PSI in 1.71% (n=12) cases while a deep PSI in rest 2% cases Conclusions: Proper mechanical cleaning, sound selection of sterilisation method, strict compliance to the sterilisation steps without any enticements are the keys to avert the unsought complications like PSI in this novel laparoscopy technique.

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Section: Resultscontrasting

confidence: 94%

Section: Resultssupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Infection of port holes may lick the coveted goals: A surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy

Sangwan¹,

Sangwan²,

Garg³

et al. 2019

Int. J. Surg. Sci.

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“…Creating pneumoperitoneum by the placement of the primary port is very important as about half of the complications in routine laparoscopic surgery are related to this step. 4 Routinely there are two sites for the placement of primary trocar to create pneumoperitoneum. More commonly used site is the infraumbilic and second is the transumbilic route.…”

Section: Introductionmentioning

confidence: 99%

Transumblical versus Infraumblical pneumoperitoneum: A comparative study.

Awan

Raza

Balqees

et al. 2020

TPMJ

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Objectives: In Laparoscopic surgery placement of primary port is an important step and is often associated with complications. Our objective is to compare the merits and demerits like safety, efficacy of the site, time of entry of the port, per-operative and post-operative complications of infrumbilical (IU) with transumbilical (TU) approach for placement of this port. So on the basis of best clinical evidence get a clinical direction for a better site for placement of primary port. Study Design: A prospective randomized controlled trial of 238 patients. Setting: Surgical unit II of DHQ Hospital/ Sargodha Medical College (University of Sargodha) Sargodha. Period: June 2015 to December 2017. Material & Methods: Patients aged 16-70 years, fit for surgery, under general anesthesia were included in this study after informed consent. Patients who were unfit for general anaesthesia, who were Imuno-compromised, diabetics, CLD, with ascites, patients with suspected malignancy, with previous surgery in the umbilical region like midline laparotomy scar, previous hernia repair in this region were excluded from this study. Permission was sought from and granted by institutional ethical committee. Results: A total number of 238 patients were included. Group A (Trans-Umbilical) and Group B (Infra-Umbilical) contained 119 cases each. There were 147 female and 91 male. (M: F ratio of 1: 1.615). Conclusion: Based on results from this study and previous literature, it may be concluded that Transumbilical (TU) placement of primary port for creation of pneumoperitoneum is superior to infrumbilical (IU) approach.

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Assessment of Port Site Complications in Laparoscopic Surgery – A Prospective Descriptive Study from Western Odisha

Majhi¹,

Nayak²,

Raghib³

et al. 2021

jebmh

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BACKGROUND Laparoscopic surgery has brought about a paradigm shift in modern surgical care. It has varied applications in gastrointestinal surgery, urological surgery, gynaecological surgery and oncosurgery. Better cosmesis, less post-operative pain, hence reduced need for post-operative analgesia, shorter recovery period and faster return to daily activities are its advantages. However, certain complications like port site infection, hemorrhage, hernia, TB or metastasis are morbid complications that undermine its benefits. In this study, we wanted to identify the various port site complications in patients undergoing laparoscopic surgery for different diseases in our hospital and assess its incidence. METHODS This is a prospective descriptive study. 125 patients admitted to the Department of General Surgery from November 2018 to October 2020 who fulfilled the inclusion and exclusion criteria underwent elective laparoscopic surgeries. They were observed post-operatively for various port site complications. All the data was entered into the Microsoft Excel 2007 software and further analysis was done using SPSS software version 24.0 (IBM Inc. Chicago). A P - value of less than 0.05 was considered statistically significant. RESULTS Of 125 patients that underwent laparoscopic surgery, 9 patients (7.2 %) developed complications specific to port site upon a follow-up of 3 months. Complications observed were port site infection (n = 4, 3.2 %), port site hemorrhage (n = 2, 1.6 %). Port site hernia, port site tuberculosis (TB), umblical port site hernia and mild subcutaneous emphysema were observed in one patient each (0.8 %). Scar abnormalitites were seen in 3 patients (2.4 %). CONCLUSIONS Laparoscopy is associated with minimal complications. However rare these complications are, they take away from the advantages of the laparoscopic surgery and the reputation of the hospital and surgeon alike. Apt patient selection, meticulous surgical technique, proper sterilization of the laparoscopic instruments and effective antibiotics use can further reduce the incidence of complications. KEYWORDS Laparoscopy, Port Site Complications, Infection, Hernia, Hemorrhage

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Laparoscopic port site complications: a study in a tertiary care centre

Cited by 6 publications

References 14 publications

Infection of port holes may lick the coveted goals: A surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy

Infection of port holes may lick the coveted goals: A surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy

Transumblical versus Infraumblical pneumoperitoneum: A comparative study.

Assessment of Port Site Complications in Laparoscopic Surgery – A Prospective Descriptive Study from Western Odisha

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