samedi 14 mai 2016

What To Know About 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 is a technique in laparoscopic surgery that is still relatively new owing to its recent development. It is classified as a minimally invasive surgical operation because most of the process is done through one entry point. In most cases, the navel serves as the entry point into interior of the patient. Thus, because only one entry point is used, only a single tiny scar is left behind after the process has been completed.

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.

Specialized surgical instruments in use by SILS fall into two wide categories. These wide categories are access ports instruments and hand instruments. Some of the access ports instruments are TriPort15, the Uni-X, SILS gadgets, TriPort+, GelPOINT system, and QuadPort+. The devices are designed and made by different companies.

Conversely, three major configurations of hand instruments exist today. They are pre-bent rigid, standard, and articulating configurations. The development of standard hand tools has been happening for more than the previous 30 years. Rigid design is used in making them. SPL reduced triangulation instrument challenge has been solved through the invetion of articulation hand instruments.

The choice of whether or not to use articulating or standard instruments usually lies with the surgeons. There are a few factors that influence the decision. Among these influential factors are access port used, cost, and surgical skills of a surgeon. Articulating instruments are very costly when compared to standard instruments. This procedure is made safer and more effective by the use of specialized instruments.

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 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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