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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Main Authors: Adewale O Adisa, Olusegun I Alatise, Elugwaraonu A Agbakwuru, David O Akinola, Olusanya Adejuyigbe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Nigerian Journal of Surgery
Subjects:
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.
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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
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AT olusegunialatise woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital
AT elugwaraonuaagbakwuru woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital
AT davidoakinola woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital
AT olusanyaadejuyigbe woundcomplicationsfollowinglaparoscopicsurgeryinanigerianhospital