What To Know About Single Incision Laparoscopic Surgery

By Margaret Bailey


Approaches to surgical operation have changed and evolved widely as a result of technological advancements. The abbreviation SILS is often used for single incision laparoscopic surgery, which is also referred to by man other names. Those other names include single-port access surgery (SPA), Single-port laparoscopy (SPL), and natural-orifice trannsumbilical surgery. Other terms used are one-port umbilical surgery (OPUS), single-port incision-less conventional equipment-using surgery, laparro-endoscopic singular-site surgery (LESS), and single-access endoscopic surgery (SAES).

SILS as a technique in laparoscopic surgery is still relatively new because it was only developed recently. Because this method utilizes a single entry point into the body, it is referred to as minimally invasive. The navel is the major entry point used on most patients. Only a small scar remains after the process has been done, which is one of the reasons why this process is preferred by many people.

Entry points are typically 11 or 22 mm incisions. One small incision is utilized as a way of minimizing scarring and pain during operations. Traditional laparoscopic operation is different from this new version because it uses multiple entry points. New York is home to some of the most qualified specialists in this field. Anyone searching for surgeons who specialize in SILS should visit this city.

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.

Surgeons usually have to choose whether to utilize articulating or standard instruments and that decision is often influenced by a few factors. Some of the factors include, access port used, surgical skills of the surgeon, and cost. In terms of cost, articulating instruments are considerably more expensive than standard instruments. The use of specialized devices makes this surgical procedure more effective and safer.

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.

SILS can be applied in performing a wide range of surgeries. Some of the most the include colectomy, sleeve gastrectomy, hysterectomy, appendectomy, nephrectomy, adjustable gastric banding, and sacrocolpopexy among many others. In the United States, standard instruments dominate this field of surgical operation as opposed to specialized instruments.




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