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Basics Of 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 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.

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.

Specialized surgical instruments in use by SILS fall into two wide categories. These wide categories are access ports instruments and hand instruments. Some of the access ports instruments are TriPort15, the Uni-X, SILS gadgets, TriPort+, GelPOINT system, and QuadPort+. The devices are designed and made by different companies.

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.

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.

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.

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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