Single Incision Laparoscopic Surgery (SILS)

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SINGLE INCISION LAPAROSCOPIC SURGERY in noida SILS – Want minimal scar and at the same time want to get rid of your surgical problem ? SILS or single incision laparoscopic surgery is the answer for you. It is done for various types of laparoscopic surgeries. It is the next advancement in laparoscopic surgery.

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It is important to operate when the disease is in the starting stages as then it can be tackled by SILS. As the disease becomes complicated , the traditional laparoscopic methods have to be deployed.

SILS — Single Incision Laparoscopic Surgery

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We use the routine lap instruments and normal ports . Hence we are able to give the cost advantage to the patient. Other surgeons use fancy and costly SILS port and roticulating instruments to conduct this type of surgery .

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Dr Nitin Jha has presented this type of surgery at a conference of SAGES –at Boston in USA.

Traditional laparoscopic surgeries use a telescopic rod attached to a video camera called a laparoscope, which is inserted through a small incision. Apart from this, 3 to 4 additional small cuts are made to insert the other surgical instruments to perform the surgery.

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LIMITATIONS OF SILS –

SILS is not possible in patients who have previously undergone multiple major surgeries in the abdominal region. Patients who are morbidly obese are also not good for SILS. Patients with advanced stage of their pathologies — are not good candidates for SILS.

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Single Incision Laparoscopy is usually performed as day surgery either in the hospital or outpatient surgery centre.

The patient is made to lie down in a tilted position so that the feet are placed higher than the head.

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Recovery after single incision laparoscopic surgery –

Common post-operative guidelines following Single Incision laparoscopy include the following:

• ^{You will need someone to drive you home after you are discharged}. ^{Because anaesthesia may make you feel groggy and tired}
• ^{Do not remove the dressing over the incision for the first two days and keep the area clean and dry.  No showering or bathing during this time.  The incision usually heals in about 5 days}
• ^{Your surgeon may give you activity restrictions such as no heavy lifting. It is very important that you follow your surgeon’s instructions for a successful recovery}
• ^{You may feel soreness around the incision area.}
• ^{pain medicine or recommend NSAID’s (non-steroidal anti-inflammatory drugs) for the first few days to keep you comfortable}
• ^{If the abdomen was distended with gas, you may experience discomfort in the abdomen, chest, or shoulder area . It will subside after a couple days while the excess gas is being absorbed}

Benefits –

Several benefits account for the increasing popularity of SILS when compared to conventional laparoscopy. These include:

• Speedy recovery
• Reduction in post-operative infections and pain
• Reduction in the duration of hospital stay
• Smaller or no visible scar 

Instead of traditional four to five small incisions, a single small incision can be used at the entry point. All surgical instruments are placed through this small incision .The incision site is located in the umbilicus. It becomes hidden after a few months.

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Provides the benefits of fewer scars, the opportunity of less pain, and shorter recovery periods. SILS is one of the newest laparoscopic techniques and it is regarded as non-invasive. In general, SILS techniques take about the same amount of time to do as traditional laparoscopic surgeries.

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The patient’s hospital stay is shorter .

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Dr Nitin Jha is among the first few surgeons in noida who are routinely doing SILS surgeries .