Analysis of laparoscopic port site complications: A descriptive study

Somu Karthik, Alfred Joseph Augustine, Mundunadackal Madhavan Shibumon, Manohar Varadaraya Pai

Research output: Contribution to journalArticle

35 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)59-64
Number of pages6
JournalJournal of Minimal Access Surgery
Volume9
Issue number2
DOIs
Publication statusPublished - 01-04-2013

Fingerprint

Laparoscopy
Hemorrhage
Morbidity
Umbilicus
Omentum
Hernia
Infection
Surgical Instruments
Software
Prospective Studies
Neoplasm Metastasis

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Karthik, Somu ; Augustine, Alfred Joseph ; Shibumon, Mundunadackal Madhavan ; Pai, Manohar Varadaraya. / Analysis of laparoscopic port site complications : A descriptive study. In: Journal of Minimal Access Surgery. 2013 ; Vol. 9, No. 2. pp. 59-64.
@article{99cf046d379840bba1d2a5597fb55a7b,
title = "Analysis of laparoscopic port site complications: A descriptive study",
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.",
author = "Somu Karthik and Augustine, {Alfred Joseph} and Shibumon, {Mundunadackal Madhavan} and Pai, {Manohar Varadaraya}",
year = "2013",
month = "4",
day = "1",
doi = "10.4103/0972-9941.110964",
language = "English",
volume = "9",
pages = "59--64",
journal = "Journal of Minimal Access Surgery",
issn = "0972-9941",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "2",

}

Analysis of laparoscopic port site complications : A descriptive study. / Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya.

In: Journal of Minimal Access Surgery, Vol. 9, No. 2, 01.04.2013, p. 59-64.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Analysis of laparoscopic port site complications

T2 - A descriptive study

AU - Karthik, Somu

AU - Augustine, Alfred Joseph

AU - Shibumon, Mundunadackal Madhavan

AU - Pai, Manohar Varadaraya

PY - 2013/4/1

Y1 - 2013/4/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84877142459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877142459&partnerID=8YFLogxK

U2 - 10.4103/0972-9941.110964

DO - 10.4103/0972-9941.110964

M3 - Article

AN - SCOPUS:84877142459

VL - 9

SP - 59

EP - 64

JO - Journal of Minimal Access Surgery

JF - Journal of Minimal Access Surgery

SN - 0972-9941

IS - 2

ER -