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SAS Journal of Surgery | Volume-6 | Issue-03
The Evaluation of Laparoscopic Port Site Complications-A Descriptive Type of Study
Iqbal Masud Khan, Md. Zakir Hossain, Nishat Farhana Khan, Nabaneeta Sarker, Nayeem
Published: March 21, 2020 | 133 77
DOI: 10.36347/sasjs.2020.v06i03.013
Pages: 141-144
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Abstract
Introduction: Laparoscopic surgery is the standard care for many surgical and gynecological conditions with documented benefits and excellent outcome. The main reason for preference of laparoscopic surgeries to abdominal surgeries are being performed laparoscopically as a result of advancement in medical science. Objective: An Evaluation of laparoscopic port site complications in a Marks Medical College & Hospital, Dhaka, Bangladesh. Methods and Materials: We carried out a descriptive type of study in the Dept. Of Gastro Intestinal Laparoscopic Onco Surgery, Marks Medical College & Hospital, Dhaka, Bangladesh during the period from January 1, 2017 to December 31, 2018. Our aim was to evaluate the laparoscopic port site complication in Bangladesh. Laparoscopic techniques have revolutionized the field of surgery and offer several advantages over laparotomy including lower patient morbidity rates, reduced hospital length of stay and earlier return to normal activities. Although rare, several port site complications have been reported in the literature. Laparoscopic port site complications can be access-related or post-operative. Complications are related to port-site incision size, number of port sites, obesity, and umbilical ports. Results: A total of 200 cases were selected for this study. Of the 200 patients undergoing laparoscopic surgery, Majority (60.00%) of cases were female and (40.00%) were male. (30.00%) were aged between <20 years, (29.00%) were aged between from 31-40 and >41 were (41.00%) years. Majority (2.50%) of cases were in port site discharge, (1.00%) were in port site TB, port site incisional hernia was (0.50%), port site bleeding was (1.00%) and the port site metastasis were (0.50%). Laparoscopy offers advantage of rapid postop recovery. It is recommended to follow proper technique of sterilization of laparoscopic instruments to prevent PSI. Infection is most commonly seen at port site through which gall bladder was extracted. Conclusion: Complicat