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What To Know About Single Incision Laparoscopic Surgery

By Margaret Bailey


Approaches to surgical operation are changing and evolving mostly because of major technological advancements that are being made in various fields including surgical medicine. Single incision laparoscopic surgery is often referred to using the abbreviation SILS, but it also has many other names. Among the names SILS goes by are Single-port laparoscopy, single-port access surgery (SPA), Single-access endoscopic surgery (SAES), and single-port incisionnless conventional equipment-using surgery (SPICES). Other names include natural-orifice trannsumbilical surgery (NOTUS), one-port umbilical surgery (OPUS), and laparo-endoscopic singular-site surgery (LESS).

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.

The process makes use of specialized surgical equipment that can be classified into two major classes, that is hand and access ports instruments. There is a wide variety of access ports instruments including the GelPOINT system, SILS device, TriPort+, QuadPort+, TriPort15, and Uni-X. All these instruments are manufactured by different manufacturers.

Conversely, there are three key configurations of hand instruments in use. They include articulating, pre-bent rigid, and standard configurations. It has taken over the past thirty years to develop standard hand tools. They are made with rigid design. The SPL reduced triangulation instrument problem was solved by the development 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.

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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