There is a major shift in the way in which surgeries are performed in the city of New York. Traditionally, the main objective of surgical operations was to get rid of the diseased part of the body or to restore normal function by any other means. There was little regard about the cosmetic effects these surgeries would have. Today, cosmetic appearance after surgery a lot more important. Single incision laparoscopic surgery is one of the approaches that are being adopted to address this need.
Laparoscopic operations have traditionally required three entry ports made in the anterior abdominal wall to facilitate the entry of the laparoscope and the instruments. For single incision surgery, only one of these ports is required for both the laparoscope and the instruments. For this reason, the operation is also known as single port access surgery (SPA) or single port Laparoscopy (SPL).
The technique is used for a wide range of conditions. These include gall bladder removal (cholesystectomy), removal of the appendix, repair of hernias and in pelvic surgeries such as the removal of the uterus and the ovary. As it continues to gain acceptance in the community of surgeons, this list is bound to increase even further.
There are a number of advantages that are associated with this procedure. One of them is the fact that recovery is faster and many patients can resume their routine duties in a few days. It is also cosmetically superior to the other methods due to the fact that only one incision is used. The main disadvantage is that it is a little more expensive than the other methods due to the high level of specialization needed.
It is important to mention that using the technique is a lot more cumbersome than the traditional methods. Using the same opening for all the instruments may not be that easy for surgeons who are not adequately experienced. This is because instrument crowding obscures the view and the distance from the incision site to the target site is often longer. As a result, the risk of intraoperative injury is higher than in other methods without proper training.
This technique is not suitable for use in patients that are very obese, those that have a massively enlarged abdominal organ and those with a history of multiple operations. This is because of the difficulties that are associated with operating these groups of patients. In case, the operation cannot be completed successfully (as happens in 5 to 10% of cases). Additional ports can be created or even conversion to the open procedure in rare cases.
There are risks that you need to be aware of even as you consider undergoing the operation. Bleeding and surgical site infections are the most frequently encountered but their incidence is far less than what is seen with the other methods. Incisional hernias are a common problem with open surgery but with this technique they are a rare occurrence.
Single incision surgery is fast becoming one of the most popular techniques among patients and surgeons. This is mainly due to its minimal invasive nature that results in better cosmetic results. The risks involved are also reduced markedly. The fields of gynecology and pediatrics appear to be on the forefront in embracing this specialized procedure.
Laparoscopic operations have traditionally required three entry ports made in the anterior abdominal wall to facilitate the entry of the laparoscope and the instruments. For single incision surgery, only one of these ports is required for both the laparoscope and the instruments. For this reason, the operation is also known as single port access surgery (SPA) or single port Laparoscopy (SPL).
The technique is used for a wide range of conditions. These include gall bladder removal (cholesystectomy), removal of the appendix, repair of hernias and in pelvic surgeries such as the removal of the uterus and the ovary. As it continues to gain acceptance in the community of surgeons, this list is bound to increase even further.
There are a number of advantages that are associated with this procedure. One of them is the fact that recovery is faster and many patients can resume their routine duties in a few days. It is also cosmetically superior to the other methods due to the fact that only one incision is used. The main disadvantage is that it is a little more expensive than the other methods due to the high level of specialization needed.
It is important to mention that using the technique is a lot more cumbersome than the traditional methods. Using the same opening for all the instruments may not be that easy for surgeons who are not adequately experienced. This is because instrument crowding obscures the view and the distance from the incision site to the target site is often longer. As a result, the risk of intraoperative injury is higher than in other methods without proper training.
This technique is not suitable for use in patients that are very obese, those that have a massively enlarged abdominal organ and those with a history of multiple operations. This is because of the difficulties that are associated with operating these groups of patients. In case, the operation cannot be completed successfully (as happens in 5 to 10% of cases). Additional ports can be created or even conversion to the open procedure in rare cases.
There are risks that you need to be aware of even as you consider undergoing the operation. Bleeding and surgical site infections are the most frequently encountered but their incidence is far less than what is seen with the other methods. Incisional hernias are a common problem with open surgery but with this technique they are a rare occurrence.
Single incision surgery is fast becoming one of the most popular techniques among patients and surgeons. This is mainly due to its minimal invasive nature that results in better cosmetic results. The risks involved are also reduced markedly. The fields of gynecology and pediatrics appear to be on the forefront in embracing this specialized procedure.
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