Comparison of  Port-Site Hernia Development With And Without Use of Dilator For Gall Bladder Extraction Site in Elective Laparoscopic Cholecystectomy

• Published in: Pakistan Armed Forces medical journal 2024-10, Vol.74 (5), p.1351-1354
• Main Authors: Ahmad, Iftikhar, Zia, Qamar, Awan, Saeed Akhtar, Hussain, Aamir, Rana, Sumbal, Munir, Ali Arslan
• Format: Article
• Language: English
• Subjects: Asymptomatic; Care and treatment; Cholecystectomy; Comparative analysis; Data analysis; Elective surgery; Gastrointestinal surgery; Health aspects; Hernia; Hernias; Intervention; Laparoscopic surgery; Laparoscopy; Patients; Postoperative period; Variables
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v74i5.10283

ABSTRACT Objective: To compare the incidence of port-site hernia with and without use of dilator for extraction of gall bladder in elective laparoscopic cholecystectomy. Study Design: Quasi-experimental study. Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Oct 2019 to Oct 2021. Methodology: Sixty patients scheduled to undergo laparoscopic cholecystectomy were included in the study based on the inclusion and exclusion criteria. Patients were divided into two equal groups (n=30). Group-A included patients in whom dilator was used and Group-B had those patients in whom dilator was not used. All patients were followed up by clinical examination for development of hernia at the port-site for extraction of gall bladder for 18-24 months postoperatively.  Frequency of clinical development of gall bladder extraction port-site hernia was noted for every group. Result: Mean age of the patients was 42.90±14.12 years with an age range of 22 to 85 years. Of all the patients 9(18%) were male and 51(82%) patients were females. In Group-A, one patient developed port-site hernia clinically whereas in Group-B no patients developed this condition. The p-value was found to be 0.31. These results are statistically insignificant showing that use of dilator in elective laparoscopic cholecystectomy does not increase the incidence of port-site hernia significantly. Conclusion: Use of dilator does not significantly affect the incidence of development of port-site hernia from where gall bladder is extracted.