PREVALENCE AND RISK FACTORS OF PORT SITE HERNIA AFTER LAPAROSCOPIC SURGERY
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Keywords
Port site hernia, Laparoscopic surgery, Risk factors, BMI.
Abstract
Introduction: Laparoscopic surgery, also known as minimally invasive surgery (MIS) is the most advancing surgical method. Although laparoscopic surgery has many benefits compared to open surgery but it is not without risks. These include complications from the pneumoperitoneum, surgical instruments, infection and hernia. Other possible issues include bleeding and injuries to internal organs, such as the bile duct, which can cause bile leakage, liver or any other organ depending upon site of surgery. Although with advancements in minimally invasive surgery, the occurrence of port site hernia(PSH) remains a concern, as it can lead to significant morbidity. Although the incidence of hernia is less with laparoscopic procedure but it can be managed if risk factors are identified earlier and managed for preventing morbidity.
Methodology: The study was conducted in Department of Surgery, Allied Hospital, Faisalabad. Through non probability consecutive sampling 360 patients were included in study. The factors like age, gender, BMI and site were assessed for risk factors of port site hernia. The chi square test was applied to see any association with risk with p value < 0.05 as significant.
Results: The study showed mean age of 44.74 ± 13.99 years. The majority of patients (56.94%) were between 46 to 70 years, while 43.06% were between 18 to 45 years. This suggests that more than half of the patients in the study were in the older age group (46-70). Out of 360 patients, 133 (36.94%) were male, and 227 (63.04%) were female. Among all patients 12 (3.33%) developed a port site hernia after laparoscopic surgery. Most hernias occurred at the umbilical site (58.33%). There was no significant association between age of patients, site, and BMI with port site hernia.
Conclusion: The port site hernia are less prevalent among patients undergoing laparoscopic surgeries. Although this study showed no significant relation between risk factors and port site hernia but the study highlights key trends in demographics and complication rates associated with laparoscopic surgery, specifically pertaining to port site hernias.
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Affaf Ahmed
Post Graduate Trainee, General Surgery Department, Allied Hospital, Faisalabad Pakistan
Muhammad Kamil Zulfiquar
Post Graduate Trainee, General Surgery Department, Services Hospital, Lahore Pakistan
Iqra Khalid
Post Graduate Trainee, Paediatric Surgery Department, Allied Hospital, Faisalabad Pakistan
Muhammad Saim Azam
Post Graduate Trainee, General Surgery Department, Services Hospital, Lahore Pakistan
Usama Rafi
Post Graduate Trainee, General Surgery Department, Services Hospital, Lahore Pakistan
Muhammad Adil Zulfiquar
Post Graduate Trainee, General Surgery Department, Services Hospital, Lahore Pakistan
Hareem Nazeef
Central Park Teaching Hospital, Lahore Pakistan
Fajar Noor
Mayo Hospital, Anarkali, Lahore Pakistan