Vol. 3 No. 1 (2019)

Open Access

Article

Article ID: 705

Port site hernia: What are the risk factors?

by Tayeb S. Kareem, Renas A. Farman

General Surgery, Vol.3, No.1, 2019; 567 Views, 10 PDF Downloads

Background & Aim : The port site hernia is a type of incisional hernia that occurs at port sites after laparoscopic surgery. Various factors have been implicated in the development of port site hernia. The aim of this study was to know the risk factors of the port site hernia. Patients & Methods:  A retrospective study of patients who underwent different elective laparoscopic procedures in Rizgary Teaching Hospital in Erbil in a period from March 2013 to September 2014. Results : Out of 300 patients only 8 (2.7%) patients developed port site hernia. The time of the hernia occurrence ranged from 3 weeks to six months postoperatively. Half of the hernias were found in cases of age group (60-80) years. Six (75%) of the cases were female patients. All 8 hernias developed after laparoscopic cholecystectomy. Six (75%) hernias developed after open port entrance technique. All hernias occurred when the fascia in 10 mm port was not closed. Seven hernias (87.5%) occurred in patients with BMI ranged (25-34). Conclusion:  Age of the patients, technique of entrance, site and size of the port with unclosed fascial layer are important factors for developing port site hernia.

Open Access

Article

Article ID: 783

Observation on clinical efficacy of hyperbaric oxygen combined with neurosurgery in treating craniocerebral trauma

by Sung-Won Kim

General Surgery, Vol.3, No.1, 2019; 516 Views, 5 PDF Downloads

The probability of craniocerebral trauma is higher and higher, along with the increasing number of traffic and construction accidents in our lives which cause physical injuries. Main symptoms of such injuries are headache, dizziness, and impairment in language function and limb activity to varying degrees. For patients with severe craniocerebral trauma whose nerve tissue are greatly damaged, there are difficulties in effectively recovering, which may lead to some obstacles in consciousness, intelligence and even action. The current treatment research has found that inappropriate treatment method will increase patients' mortality or disability rate. At present, the effect of hyperbaric oxygen treatment for craniocerebral trauma has been recognized in many clinical trails, seen from increased cure rate.