Port-Site Pyoderma Gangrenosum – A Rare Complication of Surgical Trauma

Noblett, SE; Woodcock, Sean

doi:10.1308/rcsann.2009.91.8.665

Cited by 15 publications

(11 citation statements)

References 3 publications

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“…8,9 However, other rare complications include pyoderma gangrenosum, metastasis at the port site following laparoscopic oncosurgery and port site infections (PSIs). [10][11][12][13] The main aim of this study was to assess the port site infection and its management,…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic port site complications: a study in a tertiary care centre

Ravindranath

Reddy

2016

Int Surg J

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Section: Introductionmentioning

confidence: 99%

Laparoscopic port site complications: a study in a tertiary care centre

Ravindranath

Reddy

2016

Int Surg J

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“…The overall complications/injuries that occur following laparoscopic surgeries involve, gastrointestinal (0.06%), genitourinary (0.03%), vascular (0.01%) and omentum (0.04%) [25,26] . However, other rare complications include pyoderma gangrenosum, metastasis at the port site following laparoscopic oncosurgery and port site infections (PSIs) [27][28][29] .…”

Section: Resultsmentioning

confidence: 99%

“…[12,13] . However, the rarer complications include pyoderma gangrenosum [14] , metastasis at the port site following laparoscopic oncosurgery [15,16] , and port site infections (PSIs). [17] .…”

Section: Introductionmentioning

confidence: 99%

Port site complications following laparoscopic surgeries

Maharaul¹,

Jain²,

Garg³

2019

Int. J. Surg. Sci.

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Introduction: Laparoscopic surgery (LS), also termed minimal access surgery, has brought a paradigm shift in the approach to modern surgical care. Early postoperative recovery, less pain, improved aesthesis and early return to work has led to its popularity both amongst surgeons and patients. Its application has progressed from cholecystectomies and appendectomies to various other fields including gastrointestinal surgery, urology, gynecology and oncosurgery. However, LS has its own package of complications. Port site infection (PSI), although infrequent, is one of the bothersome complications which undermine the benefits of minimal invasive surgery. Not only does it add to the morbidity of the patient but also spoils the reputation of the surgeon. Material & Methods: A hospital based comparative study was conducted at Department of Surgery of a tertiary care hospital. A total of 120 eligible cases of laparoscopic surgeries were included in the study. Conclusion:Port site complications are minimal that includes wound infection, dehiscence, herniation of small bowel, entrapment of the omentum, bleeding, recurrence of tumour, and so on. Cautious insertion of trocar, use of safety trocar, closure of sheath with port closure needle and proper surgical techniques can minimize these complications further.

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“…Access to targeted organ during laparoscopic surgery is obtained through the help of some small incisions called ports. Different port site complications associated with laparoscopic surgery include pyoderma gangrenosum, [18] metastasis at the port site following laparoscopic oncosurgery, [19] and port site infections (PSIs). [20] These portsite complications associated with laparoscopic surgery, comprise the most intriguing surgical complications that have the capability to revert back the outcome of a surgery.…”

Section: Discussionmentioning

confidence: 99%

A Study of Post Laparoscopic Port Related Complications

A¹,

Kumar²,

Mahendru³

et al. 2018

jemds

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BACKGROUND Rapid growths in health care technology have given the surgeon the power of not only treating diseases surgically but also limiting surgical invasiveness. Laparoscopic surgeries are preferred over open surgeries, but laparoscopic surgery is not a panacea to all the problems associated with open surgery. It has its own problems and complications. The present study is planned to assess the post laparoscopic surgery port related complications. MATERIALS AND METHODSThe present study was a prospective descriptive study conducted in the Department of General Surgery at Era's Lucknow Medical College and Hospital over a period of eighteen months. A total of 310 patients were included in the study and followed up for a period of three months from the day of surgery. RESULTSOut of 310 patients enrolled in the study, complications were observed only in 8 (2.58%). Port site infections were present in 6 (1.94%) cases while metastasis and hypertrophic scar was observed in 1 (0.32%) case each. CONCLUSIONThe rate of port-site complication in the present study was found to be 2.58%. The study identified older age, smoking habit and diabetes as the potential risk factors affecting the complication rates. [1] and an increase in frequency of laparoscopic abdominal surgery made it common by 1990. [2] Laparoscopic surgeries are preferred over general surgeries because of lower cost, lesser pain and scarring, faster convalescence, lesser hospital stay and overall low cost [3,4] besides these advantages complications are by far very rare. [5] Common complications include infection, incisional hernia, bleeding, etc.Reusable metallic or disposable plastic trocars are inserted through small skin incisions or ports. These ports form the portal of entry to perform the surgical procedure by means of specially devised instruments and telescope.

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Port-Site Pyoderma Gangrenosum – A Rare Complication of Surgical Trauma

Abstract: We report a case of pyoderma gangrenosum occurring at the site of a laparoscopic port insertion following laparoscopic inguinal hernia repair.

Cited by 15 publications

References 3 publications

Laparoscopic port site complications: a study in a tertiary care centre

Laparoscopic port site complications: a study in a tertiary care centre

Port site complications following laparoscopic surgeries

A Study of Post Laparoscopic Port Related Complications

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