Wound complications following laparoscopic surgery in a Nigerian Hospital

Adisa, Adewale; Alatise, Olusegun Isaac; Agbakwuru, E A; Akinola, D O; Adejuyigbe, O

doi:10.4103/1117-6806.137310

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…All cases of superficial PSI were successfully managed by standard wound care and antibiotics. Similar results were also reported by Karthik et al [5] and Adisha et al [3] Interestingly, all cases of deep PSI were reported typically from 4 th to 8 th week of the surgery. Majority of these cases had a grade III deep PSI (57.14%) followed by grade IV (21.42%) and grade II (14.28%) PSI as per chaudhuri et al classification [10] .…”

Section: Resultssupporting

confidence: 90%

“…Laparoscopic surgery has become the order of the day due to its time-tested vantages over conventional open surgery; better cosmesis, less pain, faster convalescence and early return to work are the few of the rewards which appeal to the masses resulting in their overwhelming espousal over the past few decades. [1][2][3] Even in developing countries like India, there is a recent surge in pursuing the art of laparoscopy among all surgical specialities both in private and public hospitals with a substantially hike with the advancing time. Laparoscopic cholecystectomy has literally supplanted open cholecystectomy as the "gold standard" procedure for symptomatic gallstone disease.…”

Section: Introductionmentioning

confidence: 99%

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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: Resultssupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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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“…15 In various reports the rate of incidence varies and amounts to around 4%. 7,8,12,[16][17][18] However, PSI emerged as the most common complication in our study at an incidence of 63.5%. All of these cases were identified in the late post-operative period with maximum cases noted in between 3-4 weeks post-surgery.…”

Section: Discussionmentioning

confidence: 84%

A prospective study of different complications following laparoscopic cholecystectomy in a tertiary care hospital in Eastern India

et al. 2016

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INTRODUCTIONLaparoscopy cholecystectomy (LC) has already become the standard of care in the management of symptomatic and (in selected cases) asymptomatic cholelithiasis.1,2 The proven advantages of laparoscopic approach over open approach includes less post-operative pain, decreased hospital stay, earlier recovery, better cosmesis and costeffectiveness amongst others.3 With the increasing use of LC, the spectrum of associated complications is also changing. With the increasing experience of the operating surgeon, the severe complications like bile leak, bowel injury and vascular injury are expected to decrease. 4This prospective observational study analyses the incidences of complications of LC in a tertiary care centre in eastern India and compares them to those in already published data. ABSTRACTBackground: Laparoscopic approach for cholecystectomy has already become the standard of care for the management of symptomatic and (in selected cases) asymptomatic cholelithiasis. Despite proven advantages laparoscopic cholecystectomy (LC) is known to be associated with certain complications. Methods: This prospective study was undertaken to document the incidences of such complications and to compare them to those in already published data. A total of 750 cases of LC performed in the department of general surgery at IPGME and R and SSKM hospital, Kolkata were observed for a minimum period of 8 weeks following surgery. The complications were noted and their incidences calculated using simple statistical tools. These were then compared with those in already published data. Results: A total of 493 complications occurred in 483 patients (64.4%). The most common complication was port-site infection (PSI) occurring in 476 patients (63.5%). The other complications included bleeding (1.2%), bowel injury (0.7%) and bile duct injury (0.4%). Mortality occurred in 3 cases (0.4%). Conversions to open cholecystectomy (OC) due to inability to proceed in a timely manner because of difficult exposure or unclear anatomy were not considered as complications rather as an inevitable extension of the primary approach in some difficult scenarios. Conclusions: At the end of our study period we could conclude that the incidences of specific complications in our study are less than those reported from different centres across the globe except for PSI. The alarmingly high incidence of PSI noted is a matter for introspection. A detailed study needs to be undertaken so that appropriate measures may be taken to prevent this scourge.

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“…These complications are relatively lesser and reported in only a few studies. As far as hypertrophic scar is concerned, among different studies reviewed by us, only one study (Adisa et al, 2014) [29] had mentioned it as a complication in their series.…”

Section: Discussionmentioning

confidence: 99%

“…Karthik et al, 2013; Adisa et al, 2014 [29] mentioned about oncologic surgery and reported of a single case of port site metastasis. On reviewing the literature, we found the mention of port site metastasis among exclusive series of oncologic laparoscopic surgeries to be ranging from 0% to 16%.…”

Section: Discussionmentioning

confidence: 99%

A Study of Post Laparoscopic Port Related Complications

A¹,

Kumar²,

Mahendru³

et al. 2018

jemds

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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.

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Wound complications following laparoscopic surgery in a Nigerian Hospital

Cited by 9 publications

References 16 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

A prospective study of different complications following laparoscopic cholecystectomy in a tertiary care hospital in Eastern India

A Study of Post Laparoscopic Port Related Complications

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