Dr Anushtup De

Dr. Anushtup De

MBBS, DNB (Surgery), MRCS (Edinburgh) FIAS, FIAGES, FALS
General | Minimal access |Bariatric | Laser Surgery

Single-incision laparoscopic surgery

SILS is a revolutionary new way of performing laparoscopic surgery in which only one small (20mm) incision is made to carry out an operation. Single Incision Laparoscopic Surgery is an advance minimally invasive approach in which the surgeon operates almost exclusively through a single entry point, typically the patients belly button. All of the instruments necessary for the surgery are used through this single incision. With this new technique, pain and discomfort are reduced to minimum and recovery time is quicker.

How is SILS different from traditional laparoscopic surgery?

Over the last decade, laparoscopic surgery has replaced open surgery in the treatment of several diseases. In traditional laparoscopic surgery, the abdomen is filled with carbon dioxide gas to create a space for the surgeon to work in. Tubes called ports are then inserted through three to four small cuts, each measuring around ½-1 cm. A telescope attached to a camera inserted through one of the ports allows the surgical team to observe a magnified picture of the internal organs on a television screen. The surgeon carries out the surgery with the help of instruments introduced through these ports.

In SILS, the surgeon makes only one incision of around 20mm c(commonly just below the navel) to create a specially designed port through which he inserts both the telescope as well as the laparoscopic instruments. The surgeon then carries out an operation identical to a traditional laparoscopic one.