SINGLE INCISION LAPAROSCOPIC SURGERY (SILS) is one of the newest laparoscopic techniques and it is regarded as non-invasive. SILS also known as single port laparoscopy. In general, SILS techniques take about the same amount of time to do as traditional laparoscopic surgeries. However, SILS is recognized as to be a more complicated procedure because it involves manipulating three articulating instruments through one access port.
Although originally designed to concentrate on weight-loss issues, SILS is really a rapidly evolving technique that’s also being put on other areas of healthcare. Some surgeons are successfully using this procedure for urological, gynaecological, kidney, and colon surgeries.
Key Benefits of Single Incision Laparoscopic Surgery
- Fewer Incisions – Typically, this surgery requires only one small incision.
- Health and Cosmetic Benefits – Since there are fewer incisions, there is less possibility of infection, less scarring and better cosmetic results.
- Faster Recovery Times – The surgery is recognized as minimally invasive to cause shorter recovery times.
- The Most Recent Technology – Laparoscopic surgery has generally replaced the need for traditional open surgeries in the abdominal or pelvic cavities.
Single-incision laparoscopic surgery is gaining interest and associated courses are being taught at many centers. This can be for any number of reasons. Many see a natural progression to reduce the number of incisions from multiple small incisions necessary for laparoscopy to a single incision. Although neither truly scar-less nor as pain-free, it may still offer several benefits. SILS has got the potential to improve cosmesis, yet be practiced with already existing instruments and what many view as modified laparoscopic techniques.
As with any new surgical technique, there’s a learning curve. Although the idea of SILS seems similar to standard laparoscopy, theoretically you will find major differences in technique. Actually, some “rules” of laparoscopy have to be “broken” in order to perform SILS. It involves crowding of all the working instruments within one incision, and the basic principle of triangulation is therefore lost to some extent. When related to inadequate training and experience, these challenges may increase risk of intraoperative injury. Visualization may be obscured because of crowding of instruments, and longer distance from insertion to operative site presents additional challenge.
SILS has got the potential to offer patients real benefits, however the actual connection between SILS will not be positive if training is inadequate. While there may be some cross-fertilization between techniques, it is likely these techniques will develop running in parallel because SILS is technically simpler and easier for surgeons and patients to conceptualize. Yet, SILS performed with flexible endoscopes.