Page 17 - World Journal of Laparoscopic Surgery

Mathews John

experience are clear. It is a must to train ourselves in the 13. Komuta K, Haraguchi M, Inoue K, Furui J, Kanematsu T.
necessary skills of laparoscopy and encourage the Herniation of the small bowel through the port site following
removal of drains during laparoscopic surgery. Dig Surg
development of specially designed fellowships for those
2000;17:544-46.
performing the most advanced procedures. When there are 14. Coda A, Bossotti M, Ferri F, et al. Incisional hernia and fascial
complications, excellent training and experience should make defect following laparoscopic surgery. Surg Laparosc Endosc
them bold enough to manage the same by laparoscopy. Percutan Tech 2000;10:34-38.
15. Matthews BD, Heniford BT, Sing RF. Preperitoneal Richter
Studies have shown wound infection rate is very less
hernia after a laparoscopic gastric bypass. Surg Laparosc Endosc
when compared to open cases with reduced postoperative Percutan Tech 2001;11:47-49.
pain and recovery period. Drain site related bowel 16. Cottam DR, Gorecki PJ, Curvelo M, Weltman D, Angus LD,
complications, (Abdel-Halim etal) are rare, but its been Shaftan G. Preperitoneal herniation into a laparoscopic port site
without a fascial defect. Obes Surg 2002;12:121-23.
reported before. Iwase et al reported an incarcerated
17. Voyles CR, Petro AB, Meena AL, Haick AJ, Koury AM. A
perforated Richter’s hernia through a drain site. Nomura et
practical approach to laparoscopic cholecystectomy. Am J Surg
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necrosis due to open silicone drains and when a thorough 18. Larson GM, Vitale GC, Casey J, Voyles CR. Multipractice
literature review was done it revealed eight similar cases analysis of laparoscopic cholecystectomy in 1,983 patients.
Am J Surg 1992;163:221-26.
(six of which where in relation to suction drains). This
19. Baird DR, Wilson JP, Mason EM, et al. An early review of 800
highlights that drain sites can possibly be one of the source laparoscopic cholecystectomies at a university-affiliated
for bowel complications. We recommend closure of all 10 community teaching hospital. Am Surg 1992;58:206-10.
mm ports. If an intraperitoneal drain is necessary, it should 20. Ahmad SA, Schuricht AL, Azurin DJ, et al. Complications of
laparoscopic cholecystectomy: The experience of a university-
be placed through a 5 mm port only.
affiliated teaching hospital. J Laparoendosc Adv Surg Tech A
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