Post Laparoscopic Surgery Port Site Infections and their Management

Mukesh Pancholi

Department of General Surgery, SSG Hospital, Baroda Medical College, Vadodara, India.

Sushil Damor

Department of General Surgery, SSG Hospital, Baroda Medical College, Vadodara, India.

Digant Patel

Department of General Surgery, SSG Hospital, Baroda Medical College, Vadodara, India.

Jagrut Patel

Department of General Surgery, SSG Hospital, Baroda Medical College, Vadodara, India.

Kalpesh Patel *

Department of General Surgery, SSG Hospital, Baroda Medical College, Vadodara, India.

*Author to whom correspondence should be addressed.


Abstract

Introduction: The laparoscopic surgical approach for surgical intervention has been used for a long time. The advantages of laparoscopic surgery over open surgery are an early return to activity, decreased postoperative pain, and fewer postoperative complications. Laparoscopic surgery has its own unique complications. Besides, major complications like vascular or bowel injury, port-site infections (PSI), port-site hernias, pyoderma, and metastasis at the port site following laparoscopic onco-surgery are rare.

Materials and Methods: Surgical excision of the sinus tract and secondary closure of the wound with negative drain placement Followed by anti-tubercular drug treatment. Follow-up with the patient to check for recurrence.

Conclusion: Early surgical intervention and the start of anti-tubercular drug treatment reduce the recurrence of sinus.

Keywords: Port site infection (PSI), non tubercular infection, laparoscopic surgery complication


How to Cite

Pancholi, Mukesh, Sushil Damor, Digant Patel, Jagrut Patel, and Kalpesh Patel. 2024. “Post Laparoscopic Surgery Port Site Infections and Their Management”. Asian Journal of Case Reports in Surgery 7 (1):267-71. https://www.journalajcrs.com/index.php/AJCRS/article/view/534.

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References

Lei QC, Wang XY, Zheng HZ, Xia XF, Bi JC, Gao XJ, Li N. Laparoscopic versus open colorectal resection within fast track programs: An update meta-analysis based on randomized controlled trials. J Clin Med Res. 2015;7:594–601 [PMID: 26124904]. Available:https://doi.org/ 10.14740/jocmr2177w

Targarona EM, Balagu´e C, Knook MM, Trías M. Laparoscopic surgery and surgical infection. Br J Surg. 2000;87(5):536–44.

Lemard TWJ, shenton BK, Borzotta A, Donnelly Pk, White M, Gerrie LM et al. The influence of surgical operation on components of the human immune system. Br F Surg. 1985;72:771-6.

Griffith DE, Aksamit T, Barbara A, Brown Elliott BA, Catanzaro A, Daley C, et al. Diagnosis, treatment, and prevention of non tuberculous mycobacterial diseases: An Official ATS/IDSA statement. Am J Respir Crit Care Med. 2007;175: 367 416.

Heer VK, Khuroo S, Wani AA, Nagyal S, Jad B. Outcomes of surgical management of post laparoscopy atypical myco-bacterial port site infections: Is early surgery a better alternative?. Surgery in Practice and Science. 2022, Mar 1;8:100054.

Sasmal PK, Mishra TS, Rath S, Meher S, Mohapatra D. Port site infection in laparoscopic surgery: A review of its management. World Journal of Clinical Cases: WJCC. 2015, Oct 10;3(10):864.

Wismayer R. Laparoscopic surgery in a developing country in East Africa: An audit at the initial part of a surgeons’ learning curve. Journal of Advances in Medicine and Medical Research. 2020;32(19):66–73. Available:https://doi.org/10.9734/jammr/2020/v32i1930672

Kumar HR, Soma M, Saw MO. Current management of liver abscess: A narrative review. Asian Journal of Medicine and Health. 2023;21(12):47–53. Available.https://doi.org/10.9734/ajmah/2023/v21i12959

Colon Cancer Laparoscopic or Open Resection Study Group. Laparoscopic surgery versus open surgery for colon cancer: Short-term outcomes of a randomised trial. The Lancet Oncology. 2005, Jul 1;6(7):477-84.

Shirk GJ, Johns A, Redwine DB. Complications of laparoscopic surgery: how to avoid them and how to repair them. Journal of Minimally Invasive Gynecology. 2006, Jul 1;13(4):352-9.