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>

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.

scholarly journals SURGICAL AUDIT - LAPAROSCOPIC CHOLECYSTECTOMY IN A FREE CAMP AT PRIVATE SECTOR HOSPITAL

2020 ◽  
Vol 11 (2) ◽  
pp. 16-20
Author(s):  
Dr. Abdul Ghani Soomro
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Hospital Stay ◽  
Open Cholecystectomy ◽  
Port Site ◽  
Bladder Injury ◽  
Safe Procedure ◽  
Trocar Site ◽  
Port Site Hernia ◽  
Surgical Audit

BACKGROUND & OBJECTIVE: Laparoscopic Cholecystectomy is usual method for the treatment of gall bladder stone disease and is practiced all over the world due to many benefits like fasten the recovery time. Furthermore, it reduced the post-operative pain and period of hospital stay. To conduct Surgical Audit and evaluate safety of Laparoscopic cholecystectomy. METHODOLGY: This prospective study was conducted in a private hospital at Hyderabad during free camps of Laparoscopic Cholecystectomy. Four camps were arranged in 2016 - 2019. Total number of 190 patients  underwent Laparoscopic Cholecystectomy during the study period. The patient's age falls between 12–65 years. A detailed history, relevant investigation and Cardiac fitness were evaluated. All patients underwent four ports Lap-Chole. Data was collected assessed and audit was performed and safety was evaluated. RESULTS: Total 190 patients operated females 88.45% and males 11.55%. 115 (60.50%)were in  the range of 30-35 years followed by 55 (28.95%)patients in the range of 40-50 years.8 (4.20%) patients were converted to open cholecystectomy, 4 due to bleeding from liver bed, 3 patients due to difficult dissection in calots triangle and 1 due to Empyema of gall bladder.10 patients (5.50%) had Trocar site bleeding, 10 patients (5.50%) had gall bladder injury, in 4 cases had spillage of stones and 72 patients (38.50%) developed umbilical port site infection 1 patient develop port site hernia. No mortality was recorded in this study. CONCLUSION: Our Surgical Audit proves that Laparoscopic Cholecystectomy is a safe procedure on the basis of only 4.2% intra operative and 5.5% postoperative complications and gaining wide spread popularity among our population due to less pain, less hospital stay. We recommend other private hospitals to extent such services to our poor population with symptomatic cholelithiasis.

Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum

2018 ◽  
Author(s):  
Jon C. Gould ◽  
Kathleen Simon
Keyword(s):  
Laparoscopic Surgery ◽  
Incisional Hernia ◽  
Vascular Injury ◽  
Air Embolism ◽  
Recent Time ◽  
Abdominal Pressure ◽  
Visceral Injury ◽  
Respiratory Effects ◽  
Trocar Insertion ◽  
Port Site Hernia

Laparoscopic surgery has gained popularity in recent time. An essential aspect of this technique is production of a pneumoperitoneum with insufflation for adequate visualization and manipulation of abdominal contents. Various techniques have been developed over the years for optimal access with minimization of complications. Some of these complications include vascular injury, visceral injury, and incisional hernia. Furthermore, considerations with regards to the patient’s physical morphology, and the cardiovascular/respiratory effects of increased abdominal pressure and anesthesia must be accounted for. The guidelines to optimize patient care in these regards are discussed in this review. This review contains 2 videos, 5 figures, 2 tables, and 79 references. Keywords:  trocar insertion, port site hernia, Veress needle, optical trocar, trocar related injuries, Hassan cannula, pneumoperitoneum, air embolism, pneumoperitoneum physiology

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

Occult Radiographically Evident Port-Site Hernia After Robot-Assisted Urologic Surgery: Incidence and Risk Factors

2016 ◽  
Vol 30 (1) ◽  
pp. 92-96 ◽  
Author(s):  
Matthew C. Christie ◽  
Jules P. Manger ◽  
Abdulaziz M. Khiyami ◽  
Afshan A. Ornan ◽  
Karen M. Wheeler ◽  
...  
Keyword(s):  
Risk Factors ◽  
Port Site ◽  
Robot Assisted ◽  
Urologic Surgery ◽  
Port Site Hernia ◽  
Surgery Incidence

scholarly journals Prevalence of Anemia among Women: A Hospital- Based Study in Eastern Nepal

2020 ◽  
Vol 8 (2) ◽  
pp. 43-47
Author(s):  
Amar Kumar Sinha ◽  
Naresh Manandhar
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Retrospective Study ◽  
Health Problem ◽  
Age Group ◽  
Specific Risk ◽  
Who Guideline ◽  
Prevalence Of Anemia

Background and Objectives: Prevalence of anemia is a common health problem among the women particularly in developing countries. The purpose of our study is to determine the prevalence of anemia among women in eastern Nepal. The study is planned to find out the prevalence of anemia among the women in eastern Nepal. Material and Methods: Retrospective study was conducted among the women in between group of age 20->70 years during Dec 2015 to Aug.2016. Anemia was classified as per the WHO guideline i.e. Mild, moderate and severe. Results: Out of 877 women included in the study, 512 (58.4%) women were diagnosed anemic. The highest prevalence of anemia 61.5% & 60.6% were found at the age group of 50-59 and 20-29 yrs respectively among the anemic patients. Mean and SD (Std. deviation) of hemoglobin and age was 10.21 ± 1.45 gm/dl and 35.59 ± 14.14 yrs of the anemic populations respectively. Conclusion: It is concluded that the anemia still constitutes a health problem among women with the present prevalence 74.2% in Dalit caste in eastern Nepal. Further research is recommended to identify the specific risk factors of anemia in women.

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