Previously, before laparoscopy was invented, surgeons used to perform open surgeries, where a single long incision was made to open your body and operate on it.
Then, to prevent risks of infections and improve recovery rate, laparoscopy was introduced, where only 3 or 4 tiny incisions were made on your body to correct your issue. Now, technology has advanced, and there is no longer a need to have 3 or 4 incisions on your body.
This advancement is called a single incision laparoscopic surgery (SILS), where you only need one incision to conduct a laparoscopic surgery. Read this article till the end to learn more about SILS and how the procedure is performed.
What Is A Single Incision Laparoscopic Surgery (SILS)?
A single-incision laparoscopic surgery is an advanced laparoscopic procedure where a single incision is made near the belly button to perform the surgery. The surgical instruments and the laparoscope are inserted through that single incision, and the surgery is conducted.
This method was introduced to reduce the need for incisions in patients and reduce their discomfort and recovery time. It also serves cosmetic purposes, as patients don’t need to have too many scars on their bodies. The incision is also made near the belly button, making the scar less noticeable.
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SILS Vs. Conventional Laparoscopic: Key Difference
The below table will show you the major differences between SILS and conventional laparoscopic procedures.
Single-Incision Laparoscopic Surgery Advantages And Disadvantages
Advantages
SILS is rapidly evolving, and many surgeons are adopting this method of laparoscopy over traditional laparoscopy. SILS is especially useful in effectively treating conditions related to the liver, pancreas, gall bladder, and appendix.
It is also helpful in treating patients who need a second surgery or had a relapse. The surgeon only needs to make a slightly longer incision than the previous one. This reduces the risks of adhesions and other complications.
It also reduces the risks of injury and pain during and after the surgery. The recovery time is also lower than in open or conventional laparoscopic surgeries.
Disdvantages & Limitations
SILS has several advantages over laparoscopic surgeries. However, it might not be the best option while treating some patients.
For example, SILS is not the best option for tall patients. The SILS instrument will not be long enough to reach the surgery site if it is a bit far from the belly button.
The SILS instrument will also not be comfortable to handle if the surgery requires stitching an organ or tissue structure together. The shape of the instrument may not be suitable for this procedure.
It is also not suitable if you are treating high-risk patients whose surgical site is close to a major blood vessel. Any injury can harm the vessel and lead to blood loss. These patients might have to undergo open surgery.
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The Evolution Of Single Incision Laparoscopic Surgery Over The Years
SILS is an effective laparoscopic procedure that has helped several patients and surgeons conduct less messy and successful surgeries. Now, let’s look at its history and how it came about to be used in several surgical procedures.
1. SILS was first introduced in 1969 in the field of gynecology, where about 4000 tubal ligations were performed through small incisions near the belly button.
The SILS procedure was highly successful and was then used in several elective female sterilization procedures.
2. In 1992, this technique was used to conduct successful appendectomies without complications in 25 patients.
3. In 1997, SILS was used to perform cholecystectomy in around 30 patients, and it was a success.
Following this, SILS has been increasingly used to perform several general surgeries with minimal complications. The cosmetic benefit of the procedure is an added bonus for several patients who wish to reduce scarring and post-surgical pain.
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Conclusion
Single-incision laparoscopic surgeries have become an effective alternative for patients who wish to have a scarless surgery. However, remember that this procedure is not suitable for all cases. Some procedures might require an open or conventional laparoscopy.
Ensure you discuss it with your laparoscopic surgeon and understand what procedure suits your condition. Choose the procedure that can treat your issue and minimize the chances of recurrence.
