What To Know About Single Incision Laparoscopic Surgery

By Margaret Bailey


Advancements in technology are leading to the invention of better and new approaches to surgical procedures in all fields of medicine. Single incision laparoscopic surgery, often abbreviated as SILS also goes by several other names. Some of those names include Single-port laparoscopy (SPL), single-port incisionlless conventional equipment-using surgery, single-port access surgery (SPA), and Single-access endoscopic surgery. Additional names are natural-orifice trannsumbilical surgery (NOTUS), laparo-endoscopic singular-site surgery (LESS), and one-port umbilical surgery (OPUS).

SILS as a technique under laparoscopic surgery is still a relatively new idea with a rather short history. It falls under minimally invasive techniques of surgical operations because of its use of one incision point. In many patients, the navel serves as the entry point. Small scars are formed from the process. The small size of the scar is among the reasons for high preference of the method by patients and surgeons.

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.

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, 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.

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.




About the Author:



Aucun commentaire:

Enregistrer un commentaire

The Key to Weight Loss Is Diet Quality, Not Quantity, a New Study Finds

Image Credit Credit Andrew Sondern/The New York Times By Anahad O’Connor Feb. 20, 2018 Leer en español ...