Port site complications following laparoscopic surgeries

Abstract

Introduction: Laparoscopic surgery (LS), also termed minimal access surgery, has brought a paradigm shift in the approach to modern surgical care. Early postoperative recovery, less pain, improved aesthesis and early return to work has led to its popularity both amongst surgeons and patients. Its application has progressed from cholecystectomies and appendectomies to various other fields including gastrointestinal surgery, urology, gynecology and oncosurgery. However, LS has its own package of complications. Port site infection (PSI), although infrequent, is one of the bothersome complications which undermine the benefits of minimal invasive surgery. Not only does it add to the morbidity of the patient but also spoils the reputation of the surgeon.Material & Methods: A hospital based comparative study was conducted at Department of Surgery of a tertiary care hospital. A total of 120 eligible cases of laparoscopic surgeries were included in the study.Conclusion: Port site complications are minimal that includes wound infection, dehiscence, herniation of small bowel, entrapment of the omentum, bleeding, recurrence of tumour, and so on. Cautious insertion of trocar, use of safety trocar, closure of sheath with port closure needle and proper surgical techniques can minimize these complications further.