Background: Port site complications are bothersome complications which undermine the benefits of minimal invasive surgery, not only does it add to the morbidity of the patient but also spoil the reputation of the surgeon. Aims and objective of the study was to determine the morbidity associated with the port site complications in laparoscopic surgery and to identify risk factors for complications.Methods: Three hundred patients having age between 15-50 years admitted for elective laparoscopic procedure were studied. All the patients had preoperative workup and general anaesthesia was given with endotracheal intubation. The patients were observed for any port-site complication during operation and in the immediate and postoperative till three months.Results: Female preponderance (77.34%) was observed with maximum patients belonging to age group of 41-50 years (31.7%). Majority of the patients were in the BMI range of 18.5-25kg/m2 (53.33%). In 54.66% and45.33% patients Verres needle and Hasson’s (Open) method was used to create pneumoperitoneum. Cholecystectomy was the indication in 80% patients. Port site morbidity was observed in 8.67% patients. As an early port site complication, bleeding, surgical site infection, emphysema and visceral injury was observed in 6, 8, 4 and 1 patient respectively. As a late port site complication, 4 and 3 patients developed hernia and hypertrophic scar respectively.Conclusions: Port site complications are least in elective laparoscopic surgery.
Ectopic kidney (renal ectopia) is a kidney that is not located in its usual position. It has an incidence of approximately 0.11% in general population and incidence of pelvic kidney is 0.0005% and ectopic kidney with a renal stone is rarer finding with very few reported cases. Mostly patient are asymptomatic and diagnosed incidentally, many a time it only presents as a lump during abdominal examination, patient may come with urinary complaints such as urine blockage, infection or urinary stone. Here we report a case of ectopic kidney with renal calculi and X Ray KUB showed the presence of stone in the pelvis which was later confirmed for it to be in the kidney by ultrasonography, CTand IVP which was managed by open pyelolithotomy with DJ stent placement using midline incision.
Introduction: Abdominal tuberculosis is sixth most common type of extrapulmonary tuberculosis. It may mimics other gastrointestinal lesions like inammatory bowel disease, malignancies. The diagnosis is usually delayed due to non specic symptoms and signs.5-6We observed the various presentations of abdominal tuberculosis in our hospital and analyzed the pathology in present scenario. Aim: To evaluate the incidence of Abdominal tuberculosis in patient presenting Right iliac fossa pain and its association with pulmonary tuberculosis and role of Anti tubercular therapy (ATT) to minimize the further complications. Method And Materials:The study was carried out as a prospective study in the Department of General Surgery at Gajra Raja Medical College and Jayarogya group of Hospitals, Gwalior (M.P.) for 1½ year from January 2020 to June 2021. Atotal of 50 patients with pain in right iliac fossa were admitted and studied. The study was approved by the ethical committee of the hospital. Results: In our study out of 50 cases with pain in right iliac fossa 15 cases were diagnosed with abdominal tuberculosis with slight female predominance. maximum number of cases present between 20-39 years of age. 2 out of 15 had the past history of pulmonary Tuberculosis while 3 having family history of Tuberculosis. Out of 15 abdominal T.B. patients 5 patients underwent for surgery and 10 were managed conservatively & ATT started from which 4 patients responded well to ATT and 6 developed complications and presents in emergencyemergency, Out of them 4 having SAIO, 1 having distal ileal perforation and 1 with enterocutaneous stula. Conclusion: From the observation and result of my study most of patient Presented with chronic pain in Right iliac fossa has been diagnosed with ileocecal TB. Study show that 40% patients respond well to ATT and 60% develop complication with symptoms of obstruction and perforation during follow up that underwent for Surgery later on.
Objective: To assess the magnitude of this problem, various factors leading to development of this condition and the different modalities of treatment practiced in our set up. Background: Incisional hernia is the one true iatrogenic hernia ianAird denes incisional hernia as a diffuse extrusion of peritoneum and abdominal contents through a weak scar of an operation or accidental wound.Incisional hernia usually starts early after surgery, as a result of failure of the lines of closure of the abdominal wall following laparotomy. Material and methods: The study was carried out a prospective study of 60 consecutive patients who underwent mesh repair for symptomatic incisional hernia in the period between October 2019 and April 2021 in G.R. Medical College and Jaya Arogya Hospital, Gwalior. Results: In our study, out of 60 patients of incisional hernia predominant in females and compared to males mainly between 41-50 years of age predominantly 65% presented with complaint of swelling in abdomen. Etiological factor in our study which lead to hernia is wound infection followed by wound dehiscence and maximum incidence seen after gynaecological procedures and lower midline incision. Incisional hernia predominant in general anesthesia who had previously operated. Incisional hernia is predominantly observed in our study who had previously operated open surgery comparatively laparoscopy procedures. Conclusion: Conscientious aseptic technique and careful closure of the abdominal wound is necessary for preventing incisional hernia. Conventional preoperative preparation of the patients with high risk is an important factor in preventing recurrence of incisional hernia. The postoperative complications can be decreased by the utilization of suction drains in mesh repair.
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