The umbilicus in laparoscopic surgery

Voitk, Andrus J.; Tsao, S. G. S.

doi:10.1007/s00464-001-0002-x

Cited by 39 publications

(24 citation statements)

References 11 publications

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“…In the Berlin quality study of 2007, the infection rate in 6539 patients was about 0.7%. However, others describe infections at the umbilicus after cholecystectomy in up to 9% of cases [42]. This discrepancy may be because many infections appear only after discharge from hospital and therefore do not appear in hospital statistics.…”

Section: Discussionmentioning

confidence: 89%

Transvaginal video-assisted cholecystectomy in clinical practice

Federlein

Borchert²,

Müller

et al. 2010

Surg Endosc

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Section: Discussionmentioning

confidence: 89%

Transvaginal video-assisted cholecystectomy in clinical practice

Federlein

Borchert²,

Müller

et al. 2010

Surg Endosc

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“…15,16 However, Voitk et al and Hamzaoglu et al showed slightly higher rate of infections (9% and 8% respectively). 17,18 Kumar et al studied 104 patients and reported incidence of port site infection as 5.7%. 19 In present study port site bleeding was observed in 2% patients which is comparable to the reports of Quilici et al 20 Bleeding points can usually be identified and managed with electrocautery.…”

Section: Discussionmentioning

confidence: 99%

Port site complications following laparoscopic surgeries: a prospective study

et al. 2018

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Background: Port site complications are bothersome complications which undermine the benefits of minimal invasive surgery, not only does it add to the morbidity of the patient but also spoil the reputation of the surgeon. Aims and objective of the study was to determine the morbidity associated with the port site complications in laparoscopic surgery and to identify risk factors for complications.Methods: Three hundred patients having age between 15-50 years admitted for elective laparoscopic procedure were studied. All the patients had preoperative workup and general anaesthesia was given with endotracheal intubation. The patients were observed for any port-site complication during operation and in the immediate and postoperative till three months.Results: Female preponderance (77.34%) was observed with maximum patients belonging to age group of 41-50 years (31.7%). Majority of the patients were in the BMI range of 18.5-25kg/m2 (53.33%). In 54.66% and45.33% patients Verres needle and Hasson’s (Open) method was used to create pneumoperitoneum. Cholecystectomy was the indication in 80% patients. Port site morbidity was observed in 8.67% patients. As an early port site complication, bleeding, surgical site infection, emphysema and visceral injury was observed in 6, 8, 4 and 1 patient respectively. As a late port site complication, 4 and 3 patients developed hernia and hypertrophic scar respectively.Conclusions: Port site complications are least in elective laparoscopic surgery.

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“…Dabei ist der umbilikale Zugang bei der laparoskopischen Cholezystektomie mit einer Infektrate von bis zu 9% mit Abstand am häufigsten betroffen [30]. In der von Voitk et al durchgeführten Studie [30] korrelierte die im Bereiche der Trokarstellen aufgetretene Wundinfektrate mit der Rate der postoperativ aufgetretenen Trokarhernien. So betrug die Trokarhernienrate bei stattgefundenem Wundinfekt 1,8%; bei fehlendem Wundinfekt jedoch nur 0,8% (p<0,05).…”

Section: Wundinfektunclassified

“…Bedenkt man, dass in der Regel pro laparoskopischem Eingriff 3 oder mehr Trokare verwendet werden, so kommt man zum Schluss, dass die Komplikation der Trokarhernie selten auftritt. Die meisten Autoren gehen von einer mittleren Inzidenzrate von 0,2-1,8% aus [15,17,18,20,30]. Im Vergleich dazu liegt die Rate der Narbenhernien nach offener Chirurgie eindeutig höher, nämlich bei durchschnittlichen 3-20% je nach Nachbeobachtungszeit.…”

Section: Introductionunclassified

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Trokarhernien Eine seltene, potenziell gefährliche Komplikation nach laparoskopischen Eingriffen

Holzinger

Klaiber

2002

Chirurg

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With increasing numbers of laparoscopic procedures more postoperative trocar site hernias can be expected. This complication of minimally invasive surgery is rare but potentially dangerous. According to the literature, the overall incidence of trocar site hernias is expected to be around 1%. Among trocar site hernias, Richter's hernias are the most frequent, accounting for two-thirds of all small intestinal hernias. The following risk factors for the development of trocar site hernias have been identified: the trocar diameter, the trocar design, preexisting fascial defects, and some operation- and patient-related factors. Peritoneal and fascial closure should be done when blunt trocars of >10 mm have been employed. Based on the literature and our own experience, some preventive recommendations are given to further reduce the risk of hernia formation at trocar sites.

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The umbilicus in laparoscopic surgery

Abstract: Wound infection at the umbilicus is similar to that at other sites, except after cholecystectomy. Postoperative ventral hernia at the umbilicus is similar to that at other sites and not related to preexisting fascial defects.

Cited by 39 publications

References 11 publications

Transvaginal video-assisted cholecystectomy in clinical practice

Transvaginal video-assisted cholecystectomy in clinical practice

Port site complications following laparoscopic surgeries: a prospective study

Trokarhernien Eine seltene, potenziell gefährliche Komplikation nach laparoskopischen Eingriffen

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