Original Articles
Analysis of Laparoscopic Port Site Complications: An Observational Study | |
Dr. Amitrajit Roy, Dr. Prateek Raghav Vashishtha, Dr. Money Gupta, Dr. Ravi Kumar Mathur, Karan Singh Virdi | |
Introduction: Laparoscopic surgery is the gold standard of therapy for many surgeries. Complications occur as number and complexity of laparoscopic surgeries increase. Many of these complications can be directly linked to abdominal access with laparoscopic trocars. Aim and objectives: To determine the complications associated with port insertion during laparoscopic surgery and to identify the risk factors associated with it. Material and methods: Total 172 patients who were undergoing laparoscopy were taken in study. Their sociodemographic profile was noted. Types of port site complications and clinical profile of patients were compared. Basal metabolic rate (BMI) and other comorbities were noted in patients. Observations and results: Incidence of port-site complications was 6.9%. Out of these 7.0 percent had discharge (58.3% patients had purulent discharge and 41.7% had serous discharge), 2.3 percent had port site infection and 1.2 percent had bleeding, failed entry & leaking port. Port-site infection was seen in early follow ups and port-site hernia in later follow-ups There was no statistically significant mean difference in leukocyte levels, Platelet levels, neutrophils and lymphocyte counts across group with port- site complications and the group with no port-site complications (p >0.05). There was no statistically significant association of age, sex, socioeconomic status, education and religion. Odds of having port-site infection in those with higher BMI (i.e. >30 kg/m2) was 2.2 higher than than those with BMI<30 kg/m2 (p- 0.003). The participants who were suffering from Diabetes had 16.2 times more odds of having port site complications as compared to non diabetics (p<0.001) |
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