Risk Factors for Transumbilical Wound Complications in Laparoscopic Gastric and Colorectal Surgery

Abstract

Aim: To investigate the risk factors of transumbilical incision for organ removal in laparoscopic surgery.

Patients and methods: We enrolled 643 consecutive patients undergoing laparoscopic surgery from 2010 to 2013. Superficial surgical site infection (SSI) and transumbilical port site hernia were recorded.

Results: The participants underwent gastric (n=253) and colorectal (n=390) resections. SSI was observed in 17 cases (colorectal in 15; gastric in two) (2.64%) with colorectal resection having a high rate of SSI [odds ratio (OR)=5.020; p=0.022]. Hernia occurred in 23 cases (colorectal in 22; gastric in one) (3.53%), with a significantly higher rate for colorectal resection (OR=13.052; p<0.001). Female (OR=5.410; p=0.021) and history of diabetes mellitus (OR=4.437; p=0.009) contributed to the risk for developing a hernia.

Conclusion: Especially in relation to hernia, being female and having diabetes mellitus were considered independent risk factors.

Keywords: Transumbilical; complication; wound.

Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Figures

Figure 1. Transumbilical wound. Cutting the center of the umbilicus in the vertical direction in the head-to-tail side. b: Inserting the 12-mm port. c: Cutting and extending the wound to enable removal of the organ. d: Resected specimens were removed with wound protector. e: The wound just after being closed. f: The wound was covered with silver ions and hydrocolloid dressing