Minimizing Complications of Port Insertion after Laparoscopic Cholecystectomy
Background: The morbidity associated with cholecystectomy is attributable to injury to the abdominal wall in the process of gaining access to the gallbladder (i.e., the incision in the abdominal wall and its closure) or to inadvertent injury to surrounding structures during dissection of the gallbladder. Efforts to diminish the morbidity of open cholecystectomy have led to the development of laparoscopic cholecystectomy, made possible by modern optics and video technology. Objective: To study the complications that occur at port site insertion and to minimize complications that occur after laparoscopic cholecystectomy. Methods: Between May 2017 and June 2018, 200 patients with symptomatic gall stone disease were admitted to Al-Mosul general hospital and Mosul private hospitals. They were subjected to laparoscopic cholecystectomies. Using antibiotics preoperatively, povidine iodine 10% and left it to dry and fascial repair under vision decrease the complications.
Results: Intra-operative and post-operative complications noted mainly in umbilical port site, mainly bleeding, wound infections and hernia. The incidence of gall stone disease was more common in female age 31-40 years, most of them obese with obesity class II, majority of patients presented with repeated attacks of biliary colic.
Conclusions: Laparoscopic cholecystectomy is one of the most frequently performed laparoscopic operations. It has a low rate of mortality and morbidity. It is a safe and effective procedure in almost all patients presenting with cholelithiasis.
Keywords: Complication, Laparoscopy, Ports, Port site bleeding, Port site hernia, Port site infection. Iraqi Medical Journal Vol. 65, No. 2, July 2019; p.150-154
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