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

Iftikhar  Ahmad; Qamar Zia; Saeed Akhtar Awan; Aamir Hussain; Sumbal Rana; Ali Arslan Munir

doi:10.51253/pafmj.v74i5.10283

Authors

Iftikhar Ahmad Department of Surgery, Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Qamar Zia Department of Surgery, Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Saeed Akhtar Awan Department of Surgery, Combined Military Hospital Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Aamir Hussain Department of Surgery, Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Sumbal Rana Department of Anesthesia, Armed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Pakistan
Ali Arslan Munir National Guard Hospital, Bahrain

DOI:

https://doi.org/10.51253/pafmj.v74i5.10283

Keywords:

Dilator, Gall Bladder, Hernia, Laparoscopic Cholecystectomy

Abstract

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.

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