CONTEXT:The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia.AIMS:To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications.SETTINGS AND DESIGN:Prospective descriptive study.MATERIALS AND METHODS:In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed.STATISTICAL ANALYSIS USED:Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data.RESULTS:Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%).CONCLUSIONS:Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.
Urachal adenocarcinoma is a rare malignant epithelial cancer. It usually presents in advanced stages. We present a 35-year-old female with urachal adenocarcinoma presented with an anterior abdominal wall swelling and ulcer managed surgically with wide excision of anterior abdominal wall along with intra-abdominal tumour mass with umbilectomy and contiguous urachal remnant excision with abdominal wall reconstruction with mesh repair who was doing well at one year follow up. We also present a brief review regarding pathologic criteria, evolution of various staging systems and surgical aspects of urachal adenocarcinoma.
All undergraduates (UG) who set aside research for faculties and professionals are not only missing interesting moments in their graduation, but also fail to grab the extra bit of information which will assist them in their career. Formal education is an integral part of learning but research experience gives hands on experience which class room coaching fail to deliver. These activities not only enhance technical skills but also develop vital life skills like team work, communication skills and problem solving ability. The style of project submission and reviewing gives the student an overview on industrial product development cycle. A Humanitarian Technologies lab established in our institution gave us ample opportunity to work with projects which benefit human life. In this paper we present the research work we carried out in pulse oximeter design and implementation, and thereby bring out the UG research experiences -benefits, challenges, knowledge developed, expertise acquired etc.
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