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What To Know About 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 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.

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.

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.

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 degree of awareness of SILS among surgeons is very high. However, the performance of SILS is limited to a few surgeons owing to its high level of complexity, limited space of access, and the use of specialized instruments. Surgical doctors who perform the procedure have to be highly skills and trained in surgical processes. That has promoted negative perception from the public and limited indulgence in the process.

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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