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Cited by 120Minimally Invasive Surgical TechniquesHernia repair and managementSurgical site infection prevention

Analysis of laparoscopic port site complications: a descriptive study

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Augustine, AlfredJoseph, Karthik, Somu, Shibumon, MundunadackalMadhavan, Pai, ManoharVaradaraya·2013·Journal of Minimal Access Surgery
DOI 10.4103/0972-9941.110964PMC PMC3673575
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Abstract

CONTEXT: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. AIMS: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. SETTINGS AND DESIGN: Prospective descriptive study. MATERIALS AND METHODS: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. STATISTICAL ANALYSIS USED: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. RESULTS: Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). CONCLUSIONS: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

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  • Following laparoscopic procedures, the most common complications or injuries are gastrointestinal (0.6 per 1,000), genitourinary (0.3 per 1000), vascular (0.1 per 1,000), and momentum (0.4 per 1,000).

    “Following laparoscopic procedures, the most common complications or injuries are gastrointestinal (0.6 per 1,000), genitourinary (0.3 per 1000), vascular (0.1 per 1,000), and momentum (0.4 per 1,000).”

    From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [5]

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  1. [4]Aziz R Practical Manual of operative Laparoscopy 1992 New York Springer-Verlag 1 8

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Related

Authors
Augustine, A., Karthik, S., Shibumon, M., & Pai, M.
Affiliations
Manipal Academy of Higher Education (IN)
Venue
Journal of Minimal Access Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2013
Volume
9
Issue
2
Pages
59
ISSN
0972-9941 (ISSN-L)
DOI
10.4103/0972-9941.110964
PMC
PMC3673575
OpenAlex
W2155582219
Cited by
120
References
33
Citations by year
2026: 6 · 2025: 5 · 2024: 12 · 2023: 5 · 2022: 14 · 2021: 5 · 2020: 2 · 2019: 8 · 2018: 9 · 2017: 12 · 2016: 17 · 2015: 10 · 2014: 13 · 2013: 2
FWCI
13.81
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Journal of Minimal Access Surgery (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Hernia repair and management
  • Health Sciences › Medicine › Surgery › Surgical site infection prevention
Keywords
port complications, laparoscopic surgery, port site infection, port site hernia, port-site metastasis, umbilical port, trocar size, risk factors, postoperative morbidity

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