PORT SITE COMPLICATIONS IN MINIMALLY INVASIVE SURGERY: INSIGHTS AND OUTCOMES FROM A TEACHING HOSPITAL
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Keywords
Minimally Invasive Surgery, laparoscopy, port site complications, port site infection
Abstract
Port site complications (PSCs) diminish the advantages of minimally invasive surgeries, increasing patient morbidity and affecting the surgeon's reputation. This study aims to identify the types of complications associated with port sites in laparoscopic procedures, explore their potential causes, and propose preventive measures. In this prospective study, we evaluated 200 patients who underwent laparoscopic surgeries at our centre from April 2022 to March 2024, focusing on port site complications and assessing the significance of various factors.
The mean age of the patients was 42.82 ± 16.24 years and the overall incidence of PSCs was found to be 8.5%. Our analysis revealed a statistically significant relationship between the number of ports used and the incidence of port site complications, with a p-value of 0.0035. Additionally, we found a statistically significant association between Body Mass Index (BMI) and the occurrence of port site complications, with a p-value of less than 0.0001.
These findings underscore the importance of considering the number of ports and BMI as key factors in minimizing the risk of PSCs in laparoscopic surgeries.
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Dr. Tony Mathew
Associate Professor Believers Church Medical College Hospital, Kerala India
Dr. Justine Samuel Johney
Associate Professor, Believers Church Medical College Hospital, Kerala India
Dr. Naveen George
Assistant Professor, Believers Church Medical College Hospital, Kerala India
Dr. Obed Manuel Kuruvilla
Assistant Professor, Believers Church Medical College Hospital, Kerala India
Dr. Renji Mathew
Associate Professor Believers Church Medical College Hospital, Kerala India
Dr. Denny Philip
Assistant Professor, Believers Church Medical College Hospital, Kerala India