SINGLE INCISION LAPAROSCOPIC SURGERY ( SILS, SPA, LEAP ETC )

The other advancement is Single Incision Laparoscopic Surgery. Click here for details on SILS.This is going to be the technique of 21^st century. While gall bladder and appendix operations can be done with the same equipment ( hence cost remains the same ), advanced laparoscopic surgery like weight loss bariatric surgery would need special instruments.

SILS is also known as Single port access (SPA) surgery, laparo endoscopic single-site surgery (LESS) or one port umbilical surgery (OPUS) or single port incisionless conventional equipment-utilizing surgery (SPICES) or natural orifice transumbilical surgery (NOTUS), or Embryonic Natural Orifice transumbilical surgery (E-NOTES) is an advanced minimally invasive surgical procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient’s navel. Since the entire surgery is performed through the navel, it does not leave any visible scar like a traditional multi-port laparoscopic approach. Surgeons employing this technique contend that patients should benefit from less post-operative pain, less blood loss, faster recovery time, fewer complications, and better cosmetic results.

There is less pain, chances of infection is reduced to 25% as there is one cut compared to four earlier, less need of medications, and possibly early return to routine activities. It is a cosmetic delight to the younger age scar conscious population. One of my patient is a school girl who I think was the happiest of all the patients we have had. We would like to call it "Cosmetic Laparoscopy" as suggested by one of our patients. The procedure can be readily learned and performed by laparoscopic surgeons without the need for expensive or experimental equipment. Using a single portal of entry to the abdominal cavity, the umbilicus, cosmesis, and scar reduction is achieved.

Click here to see is a brief video of the procedure. ==>

RANGE OF MINIMAL ACCESS SURGERY

The list of procedures that can be done laparoscopically, thoracoscopically (VATS) or endoscopically is ever expanding. The following is a list of advanced procedures that are being done now using minimal access techniques leading to shorter hospitalization, faster recovery with minimization of pain and discomfort.

Please email to us if you need further information or free advise on any of the following procedures.