Laparoscopic surgery, or minimal access surgery, is now the gold standard for treating various thoracic, abdominal, urological and gynecological conditions. It offers better outcomes and fewer complications compared to traditional open surgeries. With advancements in technology, many procedures once performed via open surgery are now done laparoscopically, though new complications related to access and specific procedures have emerged. This study aimed to evaluate the frequency and types of port‐site complications after laparoscopic surgery and to identify the most common complication. This prospective observational study was conducted in the Department of General Surgery. The study included 145 patients who underwent both elective and emergency laparoscopic surgeries. Patients were monitored during the immediate postoperative period and followed up for 3 months to identify any delayed port site complications. Among the patients, majority were male, with the largest proportion in the 21‐30 years age group. Laparoscopic appendectomy was the most frequently performed procedure and it was also linked to the majority of port site complications. In total, 33.10% of patients (48/145) experienced complications related to the port site. Early complications included discharge, surgical site infections, port site bleeding, and port site emphysema. These complications were more common in patients where the open or Hasson’s technique was used for access, when a large port size (greater than 5 mm) was employed, and when a specimen retrieval bag was not utilized. The umbilical port was the most frequent site for these complications. Overall, complications related to laparoscopic port sites are infrequent and generally manageable with minimal morbidity.
Bhavin K. Baria, Ketan R. Suthar, Hardik V. Shah and Ronak A. Rathod. Analysis of Port Site Complications After Laparoscopic Procedures in a Tertiary Care.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.643.646
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.643.646