ANALYSIS OF PORT SITE COMPLICATIONS IN LAPAROSCOPIC SURGERIES IN A TERTIARY CARE CENTRE.

Sudhir Kumar Panigrahi; Chinmaya Ranjan Behera; P.S.Pujari; Amaresh Mishra; Abinash Kanungo

Volume : VII, Issue : I, January - 2018

ANALYSIS OF PORT SITE COMPLICATIONS IN LAPAROSCOPIC SURGERIES IN A TERTIARY CARE CENTRE.

Sudhir Kumar Panigrahi, Chinmaya Ranjan Behera, P. S. Pujari, Amaresh Mishra, Abinash Kanungo

Abstract :

Laparoscopic surgery is preferred over open surgery for almost all abdominal pathologies because of the obvious advantages it renders and relatively less wound related complications. However, port site complications in laparoscopic surgeries can enhance the morbidity and thus reduces its overall benefits. These occur due to improper asepsis or instrument sterilization, or nonadherence to safety measures during trocar placement or removal at port sites. A prospective study of 630 patients, who underwent laparoscopic surgeries for various diseases, reveals an overall incidence of port site complications in 26 cases (4.12%). Of the various known complications, portsite infection was the commonest in 15 cases and port site herniation is the least common in one case. Adoption of strict asepsis, adequate sterilization methods and adherence to safety measures during placement and removal of trocars at port sites, can significantly reduce the incidence of port site complications.