Port site necrotising fasciitis following laparoscopic appendicectomy

Needle Port Assisted Two-Port Laparoscopic Appendicectomy

Introduction: In conventional Laparoscopic Appendicectomy, three ports are used wherein both the subumbilical and supra-pubic port sites are hidden the by the natural camouflages and the only visible scar is the third port in the iliac fossa. The third port scar can be made invisible by using a needle port for trans-parietal appendicular traction. Materials and Methods: From January 2013 to May...

Port-site metastases following laparoscopic surgery.

BACKGROUND Application of laparoscopy to the resection of malignancy has been followed by a literature describing cases of metastatic involvement at laparoscopic port sites. These include patients who underwent surgery for early stage carcinoma and instances following laparoscopic procedures during which tumours were not dissected. METHODS Recently published clinical and experimental studies,...

Port-Site Metastasis Following Laparoscopic Surgery

Port-Site Hernia Following Laparoscopic Cholecystectomy

BACKGROUND Port-site hernia is a rare but potentially serious complication of laparoscopic cholecystectomy. This study aimed to review the current literature, assess the incidence and causes of port-site hernias, and identify methods to reduce the risk. METHODS A systematic search of the literature published in English from 1995 to 2010 was conducted using PubMed to identify all reports of po...

Necrotising Fasciitis

Be aware that: Necrotising fasciitis is difficult to diagnose in its initial stages, as it mimics cellulitis. Important early clues are pain, tenderness and systemic illness out of proportion to the localised physical signs. Bullae and ecchymotic skin lesions also point to the condition (and are not normally found with cellulitis). [2] A high index of suspicion is necessary and suspected cases ...