Basics Of 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 is a technique in laparoscopic surgery that is still relatively new owing to its recent development. It is classified as a minimally invasive surgical operation because most of the process is done through one entry point. In most cases, the navel serves as the entry point into interior of the patient. Thus, because only one entry point is used, only a single tiny scar is left behind after the process has been completed.

Entry points are either 11mm or 22 mm incisions. One incision is utilized to minimize scarring and pain felt during and after the process. The use of one incision is opposed to the traditional laparoscopic procedure that uses multiple entry points. There are some of the most highly qualified specialists in SILS in New York. Therefore, it is quite advisable to consider visiting the city when in search of specialists in this process.

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.

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 awareness of SILS among surgical practitioners is at a high level. Despite that fact, the application of SILS is restricted to a small number of surgeons. This is because it is complex, uses specialized instruments, and the space of access is limited. It takes a high level of training and skills to be able to perform the process. That plus many other factors have limited the number of people who engage in the process and it has also promoted a negative outlook from the public.

SILS has been used on a wide variety of surgical procedures. Some major examples include colectomy, sleeve gastrectomy, adjustable gastric banding, sacrocolpopexy, hysterectomy, appendectomy, and nephrectomy among several others. Among European countries and the United States, standard instruments are being used more commonly compared to specialized instruments.




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