Laparoscopic Port Site Hernia: Incidence and Management of 150 Cases

Abstract

Introduction: Port side hernia, though rare, is a potentially serious complication following a laparoscopic procedure. It is a rare type of Incisional hernia that can occur following a laparoscopic surgery. The incidence of port site hernia is low and is likely to be underestimated. But despite many medical advances, the incidence rate has not been declining over time. Consideration of predisposing factors and modification of techniques may help reduce the risk. Aim of the study: The aim of the study was. Methods: This retrospective study included 150 patients who underwent laparoscopic cholecystectomy and laparoscopic appendectomy between the 2-year period of January 2018 to December 2019. Among the 150 patients, 6 were diagnosed with port site hernia. Result: Port site hernia ratio was 4% in the present study. Male prevalence was higher among the initial laparoscopic procedure patients, with male: female ratio at 1.5:1, while among the PSH cases, the female prevalence was higher, and the male: female ratio was 1:2. Most of the participant belonged to the older age groups. Infection and bleeding were the most prevalent clinical presentations among the participants. Mean ±SD port site incision was 10 ±2.4, operation time was 52 ±3.2 minutes. Conclusion: Port site hernia is a rare type of incisional hernia occurring at port sites after a laparoscopic surgery. Prevention of trocar site hernia appears to be more effective when trocar insertion is done through the abdominal wall tangential repair. The closure of both the fascia and the peritoneum is performed if the original incision is greater than 5mm. The suture of extra umbilical port site is performed under laparoscopic vision.