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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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THE INCIDENCE AND THE PRESENTATION OF PORT SITE HERNIA AFTER LAPAROSCOPIC CHOLECYSTECTOMY
Mohamad Theyab Hamad FRCS*, Bashar Akram Abed DGS, CABS and Fouad Jarullah Abdullah FIBMS
Background: Laparoscopic cholecystectomy (LC) has revolutionized intra-abdominal surgery and became the gold standard surgical treatment for gallstone disease, but is associated with specific complications as port site hernia (PSH). PSH is uncommon but can present as an asymptomatic swelling or with potentially dangerous complications. The aim of this study: Is to determine the incidence of PSH and its presentation in patients underwent LC as it is the most common laparoscopic surgery performed in our institute. Patients and Method: This prospective study was done in the Laparoscopy Unit- Department of General Surgery- Baquba Teaching Hospital – Diyala – Iraq, from January 2017 to June 2020. A total of 467 patients in whom successful LC was done for gallstone diseases, were included and followed up for at least one year. Result: Of the 467 patients, who were included, 85.87% were female and 14.13% were male. Patients' age ranged from 10 years to 77 years with a mean age of 42 years. During the follow up peroid, five patients (1.07%) had PSH; four patients with a hernia at the site of the umbilical port and one with a hernia at the site of the epigastric port. The period between the LC and the diagnosis of PSH ranged from 3 months to 15 months, one patient presented as an emergency case of strangulated hernia at the site of the umbilical port, while the other four patients presented as elective cases. Conclusion: PSH is an uncommon but an important dangerous complication of minimal invasive procedures, that requires long – term follow up. Knowing of the risk factors and taking the preventive measures by the laparoscopic surgeons are important to reduce its incidence.[Full Text Article]