Wound complications following laparoscopic surgery in a Nigerian Hospital
Background: Different complications may occur at laparoscopic port sites. The incidence of these varies with the size of the ports and the types of procedure performed through them. Objectives: The aim was to observe the rate and types of complications attending laparoscopic port wounds and to ident...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Nigerian Journal of Surgery |
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Online Access: | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=92;epage=95;aulast=Adisa |
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author | Adewale O Adisa Olusegun I Alatise Elugwaraonu A Agbakwuru David O Akinola Olusanya Adejuyigbe |
author_facet | Adewale O Adisa Olusegun I Alatise Elugwaraonu A Agbakwuru David O Akinola Olusanya Adejuyigbe |
author_sort | Adewale O Adisa |
collection | DOAJ |
description | Background: Different complications may occur at laparoscopic port sites. The incidence of these varies with the size of the ports and the types of procedure performed through them. Objectives: The aim was to observe the rate and types of complications attending laparoscopic port wounds and to identify risk factors for their occurrence. Patients and Methods: This is a prospective descriptive study of all patients who had laparoscopic operations in one general surgery unit of a University Teaching Hospital in Nigeria between January 2009 and December 2012. Results: A total of 236 (155 female and 81 male) patients were included. The laparoscopic procedures include 63 cholecystectomies, 49 appendectomies, 62 diagnostic, biopsy and staging procedures, 22 adhesiolyses, six colonic surgeries, eight hernia repairs and 22 others. Port site complications occurred in 18 (2.8%) ports on 16 (6.8%) patients including port site infections in 12 (5.1%) and hypertrophic scars in 4 (1.7%) patients, while one patient each had port site bleeding and port site metastasis. Nine of 11 infections were superficial, while eight involved the umbilical port wound. Conclusion: Port site complications are few following laparoscopic surgeries in our setting. We advocate increased adoption of laparoscopic surgeries in Nigeria to reduce wound complications that commonly follow conventional open surgeries. |
first_indexed | 2024-04-13T08:25:19Z |
format | Article |
id | doaj.art-089f3a0e862642728665904f16c3f540 |
institution | Directory Open Access Journal |
issn | 1117-6806 2278-7100 |
language | English |
last_indexed | 2024-04-13T08:25:19Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Nigerian Journal of Surgery |
spelling | doaj.art-089f3a0e862642728665904f16c3f5402022-12-22T02:54:29ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062278-71002014-01-01202929510.4103/1117-6806.137310Wound complications following laparoscopic surgery in a Nigerian HospitalAdewale O AdisaOlusegun I AlatiseElugwaraonu A AgbakwuruDavid O AkinolaOlusanya AdejuyigbeBackground: Different complications may occur at laparoscopic port sites. The incidence of these varies with the size of the ports and the types of procedure performed through them. Objectives: The aim was to observe the rate and types of complications attending laparoscopic port wounds and to identify risk factors for their occurrence. Patients and Methods: This is a prospective descriptive study of all patients who had laparoscopic operations in one general surgery unit of a University Teaching Hospital in Nigeria between January 2009 and December 2012. Results: A total of 236 (155 female and 81 male) patients were included. The laparoscopic procedures include 63 cholecystectomies, 49 appendectomies, 62 diagnostic, biopsy and staging procedures, 22 adhesiolyses, six colonic surgeries, eight hernia repairs and 22 others. Port site complications occurred in 18 (2.8%) ports on 16 (6.8%) patients including port site infections in 12 (5.1%) and hypertrophic scars in 4 (1.7%) patients, while one patient each had port site bleeding and port site metastasis. Nine of 11 infections were superficial, while eight involved the umbilical port wound. Conclusion: Port site complications are few following laparoscopic surgeries in our setting. We advocate increased adoption of laparoscopic surgeries in Nigeria to reduce wound complications that commonly follow conventional open surgeries.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=92;epage=95;aulast=AdisaLaparoscopyNigeriawound complications |
spellingShingle | Adewale O Adisa Olusegun I Alatise Elugwaraonu A Agbakwuru David O Akinola Olusanya Adejuyigbe Wound complications following laparoscopic surgery in a Nigerian Hospital Nigerian Journal of Surgery Laparoscopy Nigeria wound complications |
title | Wound complications following laparoscopic surgery in a Nigerian Hospital |
title_full | Wound complications following laparoscopic surgery in a Nigerian Hospital |
title_fullStr | Wound complications following laparoscopic surgery in a Nigerian Hospital |
title_full_unstemmed | Wound complications following laparoscopic surgery in a Nigerian Hospital |
title_short | Wound complications following laparoscopic surgery in a Nigerian Hospital |
title_sort | wound complications following laparoscopic surgery in a nigerian hospital |
topic | Laparoscopy Nigeria wound complications |
url | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=92;epage=95;aulast=Adisa |
work_keys_str_mv | AT adewaleoadisa woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital AT olusegunialatise woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital AT elugwaraonuaagbakwuru woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital AT davidoakinola woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital AT olusanyaadejuyigbe woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital |