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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.

Conversely, three major configurations of hand instruments exist today. They are pre-bent rigid, standard, and articulating configurations. The development of standard hand tools has been happening for more than the previous 30 years. Rigid design is used in making them. SPL reduced triangulation instrument challenge has been solved through the invetion of articulation hand instruments.

The choice of whether or not to use articulating or standard instruments usually lies with the surgeons. There are a few factors that influence the decision. Among these influential factors are access port used, cost, and surgical skills of a surgeon. Articulating instruments are very costly when compared to standard instruments. This procedure is made safer and more effective by the use of specialized instruments.

The degree of awareness of SILS among surgeons is very high. However, the performance of SILS is limited to a few surgeons owing to its high level of complexity, limited space of access, and the use of specialized instruments. Surgical doctors who perform the procedure have to be highly skills and trained in surgical processes. That has promoted negative perception from the public and limited indulgence in the process.

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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  1. Nice Blog ! this blob shares informative content about single incision laparoscopic surgery technique and uses in different types of surgeries in medical industry. We have team of advanced laparoscopic surgeon for bariatric surgery , hernia surgery and colorectal surgery at Delhi Laparoscopic surgery clinic in Delhi Noida.
    Mini Gastric Bypass in Delhi | Obesity Surgery in Delhi

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