SINGLE INCISION LAPAROSCOPIC SURGERY POSSIBILITIES AND PITFALL

Dr. Rakesh Fauzdar; Dr. Kunj Bihari Saraswat; Prof. Rajeev Sinha

Volume : IX, Issue : V, May - 2020

SINGLE INCISION LAPAROSCOPIC SURGERY POSSIBILITIES AND PITFALL

Dr. Rakesh Fauzdar, Dr. Kunj Bihari Saraswat, Prof. Rajeev Sinha

Abstract :

Introduction: Single incision laparoscopic surgery (SILS) is a new method to perform �old� operations. Though SILS has been referred to many names, for the sake of this paper, any procedure done laparoscopically though one incision will be considered a SILS procedure. The ief review will discuss the history of SILS, current applications, and potential pitfall. Aim: To evaluate the benefit, complication, operative feasibility, analyze operative parameter and find out the kind of operations can be performed by SILS. Material and Methods: All patients with undergoing SILS presenting to Surgery OPD and Emergency of Maharani Laxmi Bai Medical College, Jhansi will be included in the study from June 2010 to September 2012. Result: Of the 424 patients selected, 136 were male and 288 were female. The mean operative time for all cases was 28 min [range 18 minutes to 102 minute]. In our study conversion rate is 1.4%. That is much less than other studies. Total six SILS procedure in our study required conversion, five to conventional laparoscopy and one was converted to open procedure. We used conventional instruments for SILS. We used three ports (one 10 mm & two 5 mm) with single incision through umbilicus. Conclusion: SILS has advantage of less pain, less intra operative and post operative complication, shorter hospital stay & earlier return to routine activity.