Basics Of Single Incision Laparoscopic Surgery

By Margaret Bailey


Advancements in technology are leading to the invention of better and new approaches to surgical procedures in all fields of medicine. Single incision laparoscopic surgery, often abbreviated as SILS also goes by several other names. Some of those names include Single-port laparoscopy (SPL), single-port incisionlless conventional equipment-using surgery, single-port access surgery (SPA), and Single-access endoscopic surgery. Additional names are natural-orifice trannsumbilical surgery (NOTUS), laparo-endoscopic singular-site surgery (LESS), and one-port umbilical surgery (OPUS).

SILS as a technique under laparoscopic surgery is still a relatively new idea with a rather short history. It falls under minimally invasive techniques of surgical operations because of its use of one incision point. In many patients, the navel serves as the entry point. Small scars are formed from the process. The small size of the scar is among the reasons for high preference of the method by patients and surgeons.

The entry point can be made into a 20 mm or 11mm incision. The importance of utilizing only a single entry point is to minimize pain and scarring. This is opposed to traditional laparoscopic surgical procedure in which multiple entry point are made and used. New York is home to some of the most well-trained and qualified specialists in this kind of procedure. Thus it would be a great place to consider visiting if one needs such a process done to them.

There are two categories of specialized surgical equipment used by SILS. The two broad categories are hand instruments and access ports instruments. Access ports instruments are of various types including the GelPOINT system, QuadPort+, TriPort15, Uni-X, SILS device, and TriPort+. The manufacturers of these instruments are different.

On the contrary, hand instruments are made in three main configurations, that is, articulating, standard, and pre-bent rigid. Standard hand tools have been developed over a period of the last thirty years. Their design is rigid. Articulation hand instruments were made to solve problems in SPL reduced triangulation instrument.

A choice always has to be made between standard and articulating instruments by surgeons. Certain factors play a role in influencing that decision. Among those factors are cost, access port utilized, the level of training and skills commanded by the surgeon. It costs much more to use articulating instruments compared to using standard ones. However, the use of specialized tools promotes safety and efficiency.

There is a high level of awareness of SILS among surgical doctors currently. However, it cannot be performed by any surgeon. The process is very complicated since it involves using specialized instruments through limited access space. Thus, surgical doctors who perform this process are often highly skilled and trained in surgical operation. That has made the use of this process limited and negative perceptions have followed from the public too.

A wide variety of surgeries makes use of SILS. Common examples comprise of sleeve gastrectomy, colectomy, adjustable gastric banding, appendectomy, nephrectomy, sacrocolpopexy, and hysterectomy among others. In European nations and the US, standard instruments are in wide usage when compared to specialized ones used in many other countries out of these two regions.




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