Port Site Complications Following Laparoscopic Surgery

Background: Laparoscopic surgery complications are rare, including port site bleeding, port site metastasis, omentum-related complications, failed entry, leaking port, loss of port position, port site pain, port site infection, and nerve injury.Aim: To assess the morbidity rate related to the port insertion site in a laparoscopic operation and identify potential risk factors for problems.Patients and methods: This prospective descriptive study was conducted on 200 cases at the surgical operating theatre of the General Surgery Department, Al Husein University Hospital, Al Azhar University, from February 2022 to January 2023.Results: The most performed laparoscopic procedure was cholecystectomy (36%). Fundoplication (1.5%) and rectopexy (1%) were the least performed procedures. Reusable ports were used in 190 (95%) patients, whereas 10 (5%) ports were disposable. The average number of ports was 3.5 ± 0.9, ranging from 1 to 5. Three or fewer ports were used in 95 (47.5%) patients, while more than three ports were used in 105 (52.5%) patients. The most common complication was port site infection, reported in 10 (5%) patients.Conclusion: Regarding our results for port complications, the overall complication rate was 8%. The most common complication was port site infection, reported in 10 (5%) patients. Bleeding was reported in five (2.5%) patients. Omental-related complications were reported in two (1%) patients. Chronic pain was reported in three (1.5%) patients.