Wednesday, April 27, 2016

Information About Single Incision Laparoscopic Surgery

By Margaret Bailey


Approaches to surgical operation are changing and evolving mostly because of major technological advancements that are being made in various fields including surgical medicine. Single incision laparoscopic surgery is often referred to using the abbreviation SILS, but it also has many other names. Among the names SILS goes by are Single-port laparoscopy, single-port access surgery (SPA), Single-access endoscopic surgery (SAES), and single-port incisionnless conventional equipment-using surgery (SPICES). Other names include natural-orifice trannsumbilical surgery (NOTUS), one-port umbilical surgery (OPUS), and laparo-endoscopic singular-site surgery (LESS).

SILS as a technique in laparoscopic surgery is still relatively new because it was only developed recently. Because this method utilizes a single entry point into the body, it is referred to as minimally invasive. The navel is the major entry point used on most patients. Only a small scar remains after the process has been done, which is one of the reasons why this process is preferred by many people.

The entry point can be made into a 20 mm or 11mm incision. The importance of utilizing only a single entry point is to minimize pain and scarring. This is opposed to traditional laparoscopic surgical procedure in which multiple entry point are made and used. New York is home to some of the most well-trained and qualified specialists in this kind of procedure. Thus it would be a great place to consider visiting if one needs such a process done to them.

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, there are three key configurations of hand instruments in use. They include articulating, pre-bent rigid, and standard configurations. It has taken over the past thirty years to develop standard hand tools. They are made with rigid design. The SPL reduced triangulation instrument problem was solved by the development 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.

The awareness of SILS among surgical practitioners is at a high level. Despite that fact, the application of SILS is restricted to a small number of surgeons. This is because it is complex, uses specialized instruments, and the space of access is limited. It takes a high level of training and skills to be able to perform the process. That plus many other factors have limited the number of people who engage in the process and it has also promoted a negative outlook from the public.

SILS has been used on a wide variety of surgical procedures. Some major examples include colectomy, sleeve gastrectomy, adjustable gastric banding, sacrocolpopexy, hysterectomy, appendectomy, and nephrectomy among several others. Among European countries and the United States, standard instruments are being used more commonly compared to specialized instruments.




About the Author:



0 comments:

Post a Comment