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Information 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 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.

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.

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.

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.

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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