Port Site Hernia after Laparoscopic Surgery: Incidence, Pathogenesis and Management Strategies
Published: May 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69197.19394
Vinayak Vishnupant Kshirsagar, Yogesh Bhupal Langade, Prabhat Bhaskarrao Nichkaode, Nilam Sandeep Memane, Rakesh Diliprao Kothavale
1. Professor, Department of Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
2. Associate Professor, Department of Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
3. Professor and Head, Department of Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
4. Medical Writer, Department of Central Research Facility, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
5. Study Coordinator, Department of Central Research Facility, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
Correspondence
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.
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