Volume : II, Issue : XII, December - 2013

Outcome of Single Port Laparoscopic Surgery

Dr Kishor Jain, Dr Rahul K Shah, Dr Mihir Chavda

Abstract :

Laparoscopic surgery is the procedure of choice for most of benign gall bladder diseases and appendicitis unless obvious contraindication exists. The advantage of earlier return of bowel function, less postoperative pain, improved cosmesis, shorter length of hospital stay, earlier return to full activity, decreased overall cost were immediately appreciated. The idea of NO SCAR surgery griped the surgeons all over the world. Various natural orifices like mouth (trans- gastric), umbilicus, vagina are being used as portals for surgery. Termed variously as single port access (SPA) surgery, single incision laparoscopic surgery (SILS) or one port umbilical surgery or single port incision less conventional equipment-utilizing surgery (SPICES) or natural orifices trans-umbilical surgery (NOTUS)8,9,10, We conducted this study in 30 patients admitted in surgical ward of Government Hospital, with appendicitis or patient come for interval appendicectomy and benign gallbladder diseases from July 2010 to July 2012. Patients excluded were those who had acute cholecystitis, coagulopathy, biliary cancer, previous abdominal surgery, cardiopulmonary disease, pregnancy, co-morbid conditions and appendicular lump. Outcome of study is that the single port surgery is technically difficult, degree of freedom is compromised, visualization is limited, difficult to do SPLS in the learning curve, technical expertise required, more post-operative pain, risk of port site hernia, increases the over-all costs of the surgery and time required is more but it is cosmetically beneficial.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Kishor Jain, Dr Rahul K Shah, Dr Mihir Chavda Outcome of Single Port Laparoscopic Surgery International Journal of Scientific Research, Vol.II, Issue.XII December 2013

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