Volume 27, Issue 132, February 2023

Are we neglecting port-site complications in laparoscopic surgeries: A single centre study

Kaushika Hubballi, Manoj D Togale^♦, B G Hubballi

Department of General Surgery, JN Medical College, KLE Academy of Higher Education & Research (Deemed-to-be-University), JNMC Campus, Nehru Nagar, Belagavi-590010, Karnataka, India

^♦Corresponding author
Department of General Surgery, JN Medical College, KLE Academy of Higher Education & Research (Deemed-to-be-University), JNMC Campus, Belagavi-590010 India

ABSTRACT

Introduction: Port site complications are troublesome problems which weaken the aids of minimally invasive surgery, not only does it add to the morbidity of the patient but also haul the reputation of the specialist. The study aims to determine the morbidities associated in laparoscopic surgeries at the port sites and to identify risk factors for complications at the port sites and how we can prevent them. Patients and Methods: In our present prospective study, 120 patients underwent laparoscopic surgeries during the period of 1st January 2021 to 31st December 2021 at our hospital were observed for complications at their port sites and statistically analysed for significance using SPSS ver. 20.0. Results: From a total of 120 patients the mean age was 37.84 ± 15.76 years. A total of 10 (8.19%) port site complications were observed in this study. Comparison of various procedures by the number of ports used was recorded to be significant p < 0.0142. Comparison of various procedures with the presence of co-morbidities was observed p < 0.4069. The association of obesity with the number of ports used is found to be statistically significant with p < 0.0001 in our study. Conclusion: The study showed that port site complications were least observed in elective laparoscopic surgeries. Complications were associated with the total number of ports; umbilical port involvement is the most common. Most complications were practicable with minimum morbidity and can be further minimalized with careful surgical technique during entry and exit.

Keywords: Port site complication, comorbidity, laparoscopic, minimally invasive

Medical Science, 2023, 27, e82ms2626

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DOI: https://doi.org/10.54905/disssi/v27i132/e82ms2626

Published: 11 February 2023