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 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 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 A STUDY OF PORT SITE COMPLICATIONS AFTER LAPAROSCOPIC CHOLECYSTECTOMIES AT TERTIARY CARE HOSPITAL IN WESTERN RAJASTHAN

2019 ◽  
Vol 3 (7) ◽  
Author(s):  
Surendra Saini ◽  
Manish Kumar Saini
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Tertiary Care ◽  
Quality Of Healthcare ◽  
Port Site ◽  
Care Hospital ◽  
Medical College ◽  
Port Site Hernia ◽  
Elective Laparoscopic Cholecystectomy

Background: Port site complications though rare, shall be evaluated and studied so as to improve the quality of healthcare. Materials and Methods: This prospective study was conducted in the Department of General Surgery, Sardar Patel Medical College & P.B.M. Hospital, Bikaner, Rajasthan. 200 patients of all age group and both sexes with symptomatic cholelithiasis undergoing laparoscopic cholecystectomy. Result: Out of 200 patients studied only 1 patient presented with port site hernia in the follow up and 13 patients presented with port site infection. No other complication was detected   after laparoscopic cholecystectomies. Conclusion:  It is concluded that port site complications are rare in elective laparoscopic cholecystectomy and can be further reduced by proper selection of patients, and strictly following basic principles of laparoscopic cholecystectomy. Keywords: Laparoscopic surgeries, Port site infections, Complications

scholarly journals Delayed Perforation of the Large Bowel due to Thermal Injury during Laparoscopic Cholecystectomy

2005 ◽  
Vol 33 (3) ◽  
pp. 360-363 ◽  
Author(s):  
A Polychronidis ◽  
AK Tsaroucha ◽  
AJ Karayiannakis ◽  
S Perente ◽  
E Efstathiou ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Large Bowel ◽  
Thermal Injury ◽  
Clinical Signs ◽  
Exploratory Laparotomy ◽  
Hepatic Flexure ◽  
Temporary Ileostomy ◽  
Delayed Perforation

We report a case of delayed perforation of the large bowel because of thermal injury during a laparoscopic cholecystectomy. A 78-year-old male with symptomatic cholelithiasis underwent a difficult laparoscopic cholecystectomy because of multiple adhesions resulting from two previous cholecystitis episodes. The patient recovered well after surgery and was discharged on post-operative day 2. On postoperative day 10, the patient returned to the hospital with peritonitis. An exploratory laparotomy revealed perforation of the wall of the hepatic flexure of the large bowel, which was centred in a necrotic area 1 cm in diameter. The perforation was sutured and a temporary ileostomy performed, which was closed at a later date. The patient was doing well at a 10-month follow-up review. A delayed rupture of any part of the bowel after laparoscopic surgery can be potentially fatal if not treated during an emergency exploratory laparotomy, even if the clinical signs are not severe.

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.

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

scholarly journals EPIGASTRIC VS. UMBILICAL PORT FOR RETRIEVAL IN LAPAROSCOPIC CHOLECYSTECTOMY : WHICH IS BETTER

2020 ◽  
pp. 1-2
Author(s):  
Zayd Ashok ◽  
Priyanka pant
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Standard Treatment ◽  
Single Incision ◽  
Technical Difficulty ◽  
Port Site ◽  
Post Operative Pain ◽  
Port Site Hernia ◽  
Day By Day ◽  
Site Pain

Background and aim - Cholilithiasis is most common cause for cholecystectomy. These days laparoscopic cholecystectomy is the standard treatment for cholilithiasis. Extraction of gall bladder is an important cause for post operative pain after cholecystectomy. Laparoscopic cholecystectomy is still evolving, the number of ports are being reduced day by day. From standard four port to single incision and using natural orifices (NOTES). This study was done to determine whether the patients undergoing gall bladder retrieval via umbilical port was associated with more complications than epigastric port in a standard four port laparoscopic cholecystectomy. Method - 400 patients were selected for the study and were randomly allocated into 2 groups. Postoperatively, port-site pain score assessed at 2, 6, 12, and 24 hours by visual analog scale (VAS) score both for the epigastric and umbilical ports in all the patients and other variables are assesed accordingly and the collected data were analyzed by using SPSS version 22. Result - The postoperative pain and spillage was more in retrieval via epigastric port with only mild technical difficulty and relatively higher incidence of port site hernia from the retrieval port in retrieval via umbilical port.

scholarly journals An Unusual Incarcerated Port Site Hernia due to retained partial gall bladder with stones - A case report.

KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 309-311
Author(s):  
Mohd. Farid Hossain ◽  
Md. Rakib Uddin ◽  
Raihanul Islam Emon ◽  
Md. Manhbur Rashid Sarkar
Keyword(s):  
Emergency Department ◽  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Gall Bladder ◽  
Port Site ◽  
Primary Surgery ◽  
Incomplete Removal ◽  
Port Site Hernia ◽  
Early Features

A 50 years old lady presented to the Emergency department with what appeared to be a strangulated infraumbilical hernia. She was explored and found to have an unexpected, unusual diagnosis -- incarcerated port site hernia with early features of strangulation. There was fundic part of gall bladder loaded with stones in the center of hernial contents. Gall bladder was surrounded by inflammed pad of omentum. The defect and the mass was approximately 6-8 cm below the umbilical port site incision scar of laparoscopic cholecystectomy, performed 13 years back. Excision of the inflammed hernial contents and Herniorraphy was performed. Patient recovered completely. Complications related to introduction of ports and incomplete removal of gall bladder may present in various ways and sometimes many years after the primary surgery. Methods of reducing the risk of such complications and pathogenesis of hernia in this case are discussed. KYAMC Journal Vol. 3, No.-2, January 2013, Page 309-311 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15174

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