Basics Of 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 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.

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.

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 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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