Port site hernia in laparoscopic surgery: Mechanism, prevention and management

2015 ◽  
Vol 5 (3) ◽  
pp. 130-137 ◽  
Author(s):  
Mohan Venkatesh Pulle ◽  
Rahul Siddhartha ◽  
Ashish Dey ◽  
Tarun Mittal ◽  
Vinod K. Malik
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Port Site Hernia

UP-02.061 Incidence of Port Site Hernia After Laparoscopic Surgery

Urology ◽  
2011 ◽  
Vol 78 (3) ◽  
pp. S280
Author(s):  
M. Zalesky ◽  
P. Nencka ◽  
V. Vik ◽  
R. Zachoval
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Port Site Hernia

scholarly journals Port site hernia: What are the risk factors?

2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Tayeb S. Kareem ◽  
Renas A. Farman
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Incisional Hernia ◽  
Port Site ◽  
Age Group ◽  
Port Site Hernia ◽  
Open Port ◽  
Fascial Layer

<p><strong>Background &amp; Aim</strong>: The port site hernia is a type of incisional hernia that occurs at port sites after laparoscopic surgery. Various factors have been implicated in the development of port site hernia.</p><p>The aim of this study was to know the risk factors of the port site hernia.</p><p><strong>Patients &amp; Methods:</strong> A retrospective study of patients who underwent different elective laparoscopic procedures in Rizgary Teaching Hospital in Erbil in a period from March 2013 to September 2014.</p><p><strong>Results</strong>: Out of 300 patients only 8 (2.7%) patients developed port site hernia. The time of the hernia occurrence ranged from 3 weeks to six months postoperatively. Half of the hernias were found in cases of age group (60-80) years. Six (75%) of the cases were female patients. All 8 hernias developed after laparoscopic cholecystectomy. Six (75%) hernias developed after open port entrance technique. All hernias occurred when the fascia in 10 mm port was not closed. Seven hernias (87.5%) occurred in patients with BMI ranged (25-34).</p><p><strong>Conclusion:</strong> Age of the patients, technique of entrance, site and size of the port with unclosed fascial layer are important factors for developing port site hernia.</p>

Port site hernia in laparoscopic surgery: Way to prevent it

2016 ◽  
Vol 88 (6) ◽  
pp. 402-404
Author(s):  
Najmus Saadat Jamadar ◽  
Deb Kumar Ray ◽  
Saswati Das
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Port Site Hernia

scholarly journals Assessment of Port Site Complications in Laparoscopic Surgery – A Prospective Descriptive Study from Western Odisha

2021 ◽  
Vol 8 (24) ◽  
pp. 2106-2111
Author(s):  
Harekrishna Majhi ◽  
Tapan Kumar Nayak ◽  
Sheik Salman Raghib ◽  
Anand Seba Tirkey
Keyword(s):  
Laparoscopic Surgery ◽  
Recovery Period ◽  
Gastrointestinal Surgery ◽  
Surgical Care ◽  
Descriptive Study ◽  
Port Site ◽  
P Value ◽  
Site Infection ◽  
Port Site Hernia ◽  
Antibiotics Use

BACKGROUND Laparoscopic surgery has brought about a paradigm shift in modern surgical care. It has varied applications in gastrointestinal surgery, urological surgery, gynaecological surgery and oncosurgery. Better cosmesis, less post-operative pain, hence reduced need for post-operative analgesia, shorter recovery period and faster return to daily activities are its advantages. However, certain complications like port site infection, hemorrhage, hernia, TB or metastasis are morbid complications that undermine its benefits. In this study, we wanted to identify the various port site complications in patients undergoing laparoscopic surgery for different diseases in our hospital and assess its incidence. METHODS This is a prospective descriptive study. 125 patients admitted to the Department of General Surgery from November 2018 to October 2020 who fulfilled the inclusion and exclusion criteria underwent elective laparoscopic surgeries. They were observed post-operatively for various port site complications. All the data was entered into the Microsoft Excel 2007 software and further analysis was done using SPSS software version 24.0 (IBM Inc. Chicago). A P - value of less than 0.05 was considered statistically significant. RESULTS Of 125 patients that underwent laparoscopic surgery, 9 patients (7.2 %) developed complications specific to port site upon a follow-up of 3 months. Complications observed were port site infection (n = 4, 3.2 %), port site hemorrhage (n = 2, 1.6 %). Port site hernia, port site tuberculosis (TB), umblical port site hernia and mild subcutaneous emphysema were observed in one patient each (0.8 %). Scar abnormalitites were seen in 3 patients (2.4 %). CONCLUSIONS Laparoscopy is associated with minimal complications. However rare these complications are, they take away from the advantages of the laparoscopic surgery and the reputation of the hospital and surgeon alike. Apt patient selection, meticulous surgical technique, proper sterilization of the laparoscopic instruments and effective antibiotics use can further reduce the incidence of complications. KEYWORDS Laparoscopy, Port Site Complications, Infection, Hernia, Hemorrhage

scholarly journals Use of a novel integrated port closure system - A multi-center study

2020 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract Background The incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.Methods A multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.Results Fifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.Conclusions The TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

scholarly journals Use of a novel integrated port closure system - A multi-center study

2021 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract BackgroundThe incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.MethodsA multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.ResultsFifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.ConclusionsThe TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

scholarly journals CONTROLLED UNDER VISION TECHNIQUE (CUTE) OF LAPAROSCOPIC PORT SITE CLOSURE

2019 ◽  
pp. 1-2
Author(s):  
Arun Singh ◽  
Sunil Kumar Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Simple Technique ◽  
Port Site ◽  
Fascial Closure ◽  
New Delhi ◽  
Port Site Hernia ◽  
New Challenges ◽  
Vision Technique

BACKGROUND:Various new challenges have emerged since the introduction of laparoscopic surgery. Port site hernia is one of the serious complication. Various methods have been introduced to reduce it. The aim of this article is to introduce a procedure that is easy, safe and quick to perform and will help in decreasing port site complications after laparoscopic procedure. MATERIAL AND METHOD:We have described here a simple technique for the facial closure after laparoscopic surgery over 100 patients who underwent laparoscopic cholecystectomy repair at VMMC & Safdarjung Hospital, New Delhi. RESULT:This method was used in 100 patients with no intro-operative complication, no port site hernia reported in a follow up period of 1 year. CONCLUSION:This procedure of fascial closure is safe, quick, effective and easy to perform method of facial closure.

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