Abstract

Gallstones are among the most common gastro-intestinal diseases. Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gallstones. Laparoscopic cholecystectomy is associated with a new spectrum of intraoperative and postoperative complications.The overall complications/injuries that occur following laparoscopic surgeries involve, gastrointestinal including trocar site hernia (0.6 per 1,000), genitourinary (0.3 per 1000), laparoscopic oncosurgery, and port site infections (PSIs.Trocar site hernia (TSH) is an incisional hernia occurring at the trocar insertion sites after different types of laparoscopic surgeries Aims: To evaluate the outcomes & complications of port site closure, with fascial closure in addition to skin versus only skin closure, in laparoscopic cholecystectomy in terms of: 1.Port site hernia 2.Wound infection 3.Cosmetic appearance Materials & Methods: This study was a prospective comparative study on 100 patients consisting of group A and group B. Group A: Patients undergoing port site closure with fascial closure in addition to skin closure.Group B: Patients undergoing port site closure with only skin closure Conclusion: The present study found that both the techniques was comparable with respect to port-site hernia and infection. However, cosmesis with port site fascial closure in addition to skin closure technique was found to be better than that with only skin closure technique

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