Single Incision Laparoscopic Surgery in Andheri

In standard traditional Laparoscopic procedure, the surgeon makes a 3 or 4 small cuts in the abdominal wall (5 to 10 mm long) and puts in a thin tubular instruments called cannula. One of this cannula is attached to a unique carbon dioxide gas pump. The abdominal wall is lifted up when the gas fills the belly, giving the surgeon space to work.
The surgeon inserts a rod-like telescope with a camera attached into the cannula to view the abdomen. The image of the inside of the abdomen is captured by the telescope’s small video camera, which is transmitted to a television set. After that, the surgeon performs the procedure while watching a television image of the surgical site and using special long thin instruments that are inserted into the belly through other cannulas.
It’s critical to understand that the actual laparoscopic technique is performed in a manner that is essentially identical to the open treatment. The surgical steps are essentially the same, means of doing them are different. The main distinction is that the procedures are carried out with the use of specialised equipment and can thus be completed through tiny incisions.
In Single Incision Laparoscopic Surgery (SILS), a single small skin incision is taken and three long thin laparoscopic instruments are inserted through three thin cannulas inserted. The entire surgery is safely completed through a single skin incision leading to quicker recovery and far better cosmesis.

The use of numerous cannulas or tubes inserted side-by-side via the same incision and typical laparoscopic equipment introduced through these cannulas is an alternative method (which we prefer). With the use of this “single-incision, multi-port” technique, many procedures carried out during normal laparoscopic surgery can be done affordably.

The operations that are currently carried out with the SILS technique include

• Cholecystectomy SILS (removal of the gallbladder)
• Appendectomy using SILS (removal of the appendix)
• Excision of the sick small bowel using SILS
• Ovarian cystectomy or SILS oophorectomy (removal of ovary or ovarian cyst)

A single 1.5–2 cm incision is made at the umbilicus during single-incision laparoscopic surgery (SILS), through which the telescope and all other tools are inserted. To perform SILS, there are two methods. Either the surgeon makes use of a specialised access device (access port) that allows the passage of telescopes and specialised rotating equipment inside the belly. The cost of SILS is significantly increased by these disposable devices, though.

Due to technical challenges, at times SILS operation cannot be done in 5%–10% of patients. The procedure is finished laparoscopically after the surgeon inserts few additional cannulas. Very infrequently, switching to an open operation might be essential.
These possibilities are always discussed in detail with patients in advance (before surgery). It is impressed upon that , switching to traditional laparoscopy or even open surgery is not Surgeons failure, but rather a wise decision for the sake of the patient’s safety.