SINGLE INCISION LAPAROSCOPIC SURGERY: USE OF CONVENTIONAL LAPAROSCOPIC INSTRUMENTS IN SINGLE INCISION LAPAROSCOPIC SURGERY: OUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 34
Abstract
BACKGROUND Laparoscopic surgery has undergone several modifications since its advent. There has been a shift from a standard multiport approach to more minimalistic approaches. SILS is a major step in this evolutionary process. We present our experience with SILS using conventional laparoscopic instruments and without the need for a SILS port. METHODS 211 patients in Fortis Hospitals, Bangalore, India, who underwent SILS for various abdominal conditions from May 2009 to May 2011 were included in the study. Variables such as operating time, conversion to multi-port laparoscopy or open surgery, complications, analgesia requirements and hospital stay were included. RESULTS 211 patients underwent SILS using conventional laparoscopic instruments for Gallstones, Appendicitis, Morbid Obesity, Gynaecological conditions and Renal cysts. Average age group was 48.5 years; mean duration of hospital stay was 46.5 hours; 166 Laparoscopic cholecystectomies were done, out of which 47 were acute cholecystitis. There were no cases converted to open surgeries. CONCLUSION Single Incision Laparoscopic surgery is technically feasible and as effective as conventional laparoscopic surgery. It is a safe procedure and provides an advantage with regards to analgesia requirement, length of hospital stay and early return to work. Cosmetically, it is superior to multiport laparoscopy
Authors and Affiliations
Haridarshan Janardhan, Shreyamsa
Keywords
Related Articles
- EP ID EP123331
- DOI 10.14260/jemds/2016/444
- Views 86
- Downloads 0
LOW BACK PAIN IN PREGNANCY
BACKGROUND Low back pain in pregnancy can be defined as pain between the 12th rib and the gluteal folds/ pubic symphysis may radiate to the posterolateral thigh, to the knee and calf during the course of pregnancy. It ha...
CLINICAL PROFILE OF PATIENTS ADMITTED WITH ACUTE KIDNEY INJURY IN INTENSIVE CARE UNIT
BACKGROUND Acute Kidney Injury (AKI) in intensive care unit (ICU) is very common. This study looked at the clinical profile of patients admitted in ICU with AKI. MATERIALS AND METHODS Prospective observational study was...
GIANT CONGENITAL MELANOCYTIC NEVUS (BATHING TRUNK NEVUS)- A CASE STUDY
PRESENTATION OF CASE A thirteen-years-old female child presented to our Dermatology Department, had a large circumferentially pigmented area in front of neck, spread to chest, abdomen to thighs and up to knees as well as...
MICROBIAL KERATITIS- MICROBIAL PATTERN IN A TERTIARY CARE CENTRE OF A METROPOLITAN CITY
BACKGROUND Microbial keratitis is a potentially vision threatening state requiring prompt diagnosis & treatment, and is a leading cause of preventable blindness. We wanted to study the spectrum and sensitivity of microbi...
BURNOUT SYNDROME AMONG MEDICAL COLLEGE FACULTIES IN CHENNAI- A CROSS-SECTIONAL STUDY
BACKGROUND Burnout is a stress-induced problem commonly found among human service professionals which is characterised by emotional exhaustion, a reduced sense of personal accomplishment and depersonalisation. This study...