Port Site Hernia after Laparoscopic Surgery: Incidence, Pathogenesis and Management Strategies
Correspondence Address :
Dr. Yogesh Bhupal Langade,
Associate Professor, Department of Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune-411018, Maharashtra, India.
E-mail: yogeshlangade04@gmail.com
Although Port Site Hernia (PSH) is a rare complication after laparoscopic surgery, with an incidence of 0.65-2.8%, it can be deadly due to the inherent risk of bowel strangulation. Various factors like trocar size, design, improper closure of the defect, and postoperative infection may cause PSH, and symptoms might occur immediately within 10 days or up to 18 months of the primary procedure. A Computed Tomography (CT) scan is a helpful adjuvant in the diagnosis and evaluation of PSH. Deformities larger than 5 mm require surgical intervention in all age groups. Early cases of suspected gangrene necessitate immediate surgical intervention. In advanced situations, anatomical repair by suture or mesh repair by open or laparoscopic method is preferred for lesions larger than 5 mm.
Bowel strangling, Gangrene, Mesh repair, Trocar
DOI: 10.7860/JCDR/2024/69197.19394
Date of Submission: Dec 21, 2023
Date of Peer Review: Jan 31, 2024
Date of Acceptance: Mar 11, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. NA
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• Plagiarism X-checker: Dec 21, 2023
• Manual Googling: Mar 05, 2024
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ETYMOLOGY: Author Origin
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