Respect for the Laparoscopic Port Site: Lessons in Diagnosis, Management, and Prevention of Port-Site Hernias Following Laparoscopic Colorectal Surgery

2010 ◽  
Vol 20 (5) ◽  
pp. 451-454 ◽  
Author(s):  
Katharine E. Bevan ◽  
Arcot Venkatasubramaniam ◽  
Faheez Mohamed ◽  
Brendan J. Moran ◽  
Tom D. Cecil
1995 ◽  
Vol 82 (8) ◽  
pp. 1141-1142 ◽  
Author(s):  
G. Kazemier ◽  
H. J. Bonjer ◽  
F. J. Berends ◽  
J. F. Lange ◽  
D. Rae ◽  
...  

2019 ◽  
Vol 6 (5) ◽  
pp. 1824
Author(s):  
Ayodeji Odofin

Plastic wound protectors are used in colorectal surgery to reduce incidence of post-operative wound infection and port site metastasis. The aim of this study is to determine if this practice has research currency based on the available literature. A systematic literature search enabled critical appraisal of retrieved studies. Six studies focusing on the topic of interest were retrieved and rigorously analysed. Analysis of these studies revealed adequate support for this practice especially in reducing incidence of post-operative wound infections. Plastic wound protectors serve as a useful tool in preventing post-operative wound infections, but there is paucity of evidence to support its role in preventing port site metastasis. 


2000 ◽  
Vol 14 (11) ◽  
pp. 1034-1036 ◽  
Author(s):  
J. E. Balli ◽  
M. E. Franklin ◽  
J. A. Almeida ◽  
J. L. Glass ◽  
J. A. Diaz ◽  
...  

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
A Fernández Candela ◽  
L Sánchez-Guillén ◽  
L García Catalá ◽  
C Curtis Martínez ◽  
M Bosch Ramírez ◽  
...  

Abstract INTRODUCTION The aim of this study is to evaluate the impact of laparoscopic colorectal surgery (LCS) on body image using the validated Body Image Scale (BIS) as a parameter of surgical quality. MATERIAL AND METHODS We conducted an observational descriptive study. Patients who underwent scheduled LCS between June 2015 and December 2019 by a General Hospital Coloproctology Unit were included. RESULTS The sample included 180 patients, 115 men (63.9%) and 65 women (36.1%) with a median age of 67 years. Right hemicolectomies (31.7%) and sigmoidectomies (28.3%) were the main procedures performed. In most patients, a suprapubic (69.4%) or transverse (19.4%) incision was made. 21.9% suffered some type of postoperative complication (13.9% wound complication, 10.6% incisional hernia). The general result of the BIS questionnaire was satisfactory, with a median of 0 in the responses (no alteration of body image). We found that 46.2% of the women had some alteration in body image, compared to 28.7% of the men (p = 0.018) and low and ultra-low anterior resection were the surgeries that obtained worst scores, with 13,5% and 12,5% respectively of patients with a BIS score above 5 (p = 0.044). Patients with a stoma also obtained worst punctuation (25% above 5 vs 6,1%, p = 0.001). No statistically significant differences were found regarding type of incision, presence of complications and anxiety or depression. CONCLUSION Study results show, in general, good post-surgical body image after LCS. However, patients with stoma and women were more dissatisfied. Interestingly, there is no worse body image due to type of incision, so we recommend the least iatrogenic one.


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