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Single Incision Laparoscopic Surgery
Single incision laparoscopic surgery (SILS) has gained popularity globally in the last couple of years and is offered at major centers, including Wockhardt Hospitals in Mumbai. The procedure involves a single 20mm incision at the umbilicus, leading to quicker recovery, less pain, and cosmetic benefits compared to conventional laparoscopic surgery. SILS is suitable for various common surgical conditions and is performed by experienced laparoscopic surgeons.
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Single Incision Laparoscopic Surgery
- 1. Single Incision LaparoscopicSurgery (SILS) By Dr. Ashish Shah Consultant General/Gastroenterology/Laparoscopic Surgery, Wockhardt Hospitals
- 2. Anatomy of theDigestive System
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- 4. Symptoms of GallStones • Abdominal pain – after food • Back Pain • Chest pain • Nausea/Vomiting • Jaundice
- 5. Symptoms of appendicitis •Abdominal pain – periumbilical/right lower abdominal pain • Nausea/Vomiting • Fever
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- 7. Conventional Laparoscopic Cholecystectomy/Appendicectomy 4 Ports(keyhole) for Cholecystectomy & 3 for Appendicectomy
- 8. SILS- A Perspective •Global: • Gained popularity in the last 1-2 yrs • Currently offered at major laparoscopy centres • India: • Introduced about 1yr ago in Mumbai • Very few centres offering SILS due to lack of expertise and equipment
- 9. SILS – SingleIncision Laparoscopic Surgery Laparoscopic surgery through one 20mm incision (cut) at the umbilicus
- 10. SILS – TheProcedure
- 11. SILS –The Wockhardt Experience •4 months (4/05/09 till date) • 10 patients – 9 Female pts, 1 Male pt • 7 Cholecystectomies – 6 Female, 1 Male • 4 Appendicectomies – 4 Female • Youngest – 21 yrs (Appendicectomy) • Oldest – 62 yrs (Cholecystectomy)
- 12. SILS – WockhardtExperience • Recovery: In hospital-Ambulation 3 hrs post operation • Stay: Overnight stay • Analgesia (Pain medication): Decreased requirement- compared to conventional Laparoscopic • Earlier return to routine activity
- 13. SILS v/s Conventional Laparoscopy •Cosmetically superior • Lesser pain and decreased need for analgesics • Earlier recovery • Earlier return to activity • Applicable to many common surgical conditions – GB stones, Appendicitis, Hernia, to name a few
- 14. Who can performSILS? • Experienced Laparoscopic Surgeons who routinely perform advanced Laparoscopic surgeries • For whom: All patients who would need Laparoscopic surgery especially for uncomplicated Gallstones, Appendicitis or Hernia
- 15. Way forward… • SILS-Thenext big step forward in Laparoscopic Surgery • Offers cosmetic benefit and quicker recovery than conventional Laparoscopy • Applicable to patients requiring Laparoscopic procedures for uncomplicated conditions • SILS offered routinely to suitable patients at Wockhardt Hospital, Cunningham Road
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