Single Incision Laparoscopic Surgery (SILS) was first performed in Turkey and later introduced in India at World Laparoscopy Hospital, Delhi. The advantages of SILS include improved cosmesis, ease of tissue retrieval, and high patient acceptance, while the disadvantages may include pain, potential hernia, and a learning curve. The document discusses the equipment, procedures, and innovations associated with SILS in the context of minimal access surgery.

1. SILS Single Incision Laparoscopic Surgery World Laparoscopy Hospital – Delhi - India R. K. Mishra Professor and Head of Minimal Access Surgery, TGO University Member World Association of Laparoscopic Surgeon (WALS) Member European Association for Endoscopic Surgery (EAES) Member European Association for Transluminal Surgery (EATS) Member Indian Association of Gastrointestinal Endosurgeons (IAGES) Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Director & Chairman, World Laparoscopy Hospital, New Delhi

2. HISTORY SILS was first performed for the treatment of appendicitis at Department of Pediatric Surgery, Dokuz Eylul Medical School, Izmir, Turkey and first presented at—The Annual Congress of Turkish Association of Paediatric Surgeons, October 2005. In India SILS was started first at World Laparoscopy Hospital - Delhi World Laparoscopy Hospital – Delhi - India

3. TWO PORT SURGERY – YEAR 2003

4. TWO PORT SURGERY – YEAR 2003

5. SILS IN INDIA

6. SYNONYM SPL : Single Port Laparoscopy SPA : Single Port Access Surgery SILS : Single-Incision Laparoscopic Surgery LESS : Laparoendoscopic Single-Site Surgery OPUS : One Port Umbilical Surgery NOTUS : Natural Orifice Trans-Umbilicus Endoscopic Surgery World Laparoscopy Hospital – Delhi - India

7. EQUIPMENT FOR SILS SILS device from : Covidien Gel Point system from : Applied Medical R-Port and TriPort from : Advanced Surgical Concepts Uni-X from : Pnavel World Laparoscopy Hospital – Delhi - India

8. INSTRUMENT FOR SCARLESS SURGERY World Laparoscopy Hospital – Delhi - India

9. SILS World Laparoscopy Hospital

10. ALTERNATIVE OF SILS PORT World Laparoscopy Hospital – Delhi - India

11. World Laparoscopy Hospital – Delhi - India

13. SILS ACCESS World Laparoscopy Hospital – Delhi - India

14. SILS ACCESS World Laparoscopy Hospital – Delhi - India

15. HYSTERECTOMY World Laparoscopy Hospital – Delhi - India

16. SILS – SLEEVE GASTRECTOMY

17. SILS TAPP- R.K. MISHRA World Laparoscopy Hospital – Delhi - India

18. SCAR OF SILS World Laparoscopy Hospital – Delhi - India

19. SCAR OF SILS World Laparoscopy Hospital – Delhi - India

20. SILS VS OPEN VS LAP VS VAGINAL HYSTERECTOMY World Laparoscopy Hospital – Delhi - India

21. ADVANTAGE OF SILS Cosmesis +++ Ease of Tissue Retrieval ++++ Combination Procedure +++ Patient Acceptance ++++ Quality of life analysis ++ Standard Equipment ++ Do not violate natural orifices ++++ Surgeon’s Domain +++ World Laparoscopy Hospital – Delhi - India

22. DISADVANTAGE OF SILS Pain ?? Violating Principles of Ergonomics ???? Hernia ?? Wound Infection ??? Learning Curve ?? Cost effectiveness ??? World Laparoscopy Hospital – Delhi - India

23. OUR INNOVATION IN SILS

25. WHERE ARE WE GOING NEXT SILS or NOTES World Laparoscopy Hospital – Delhi - India