Single-incision minimal access surgery

Single-incision minimal access surgery

• Single-incision minimal access surgery has varied in popularity with both strong advocates and others who are sceptical of any advantages. Single-incision laparoscopic surgery (SILS) involves insertion of all instrumentation through a multiple channel port via a single incision at the umbilicus. The benefits are that the incision, through a natural scar (the umbilicus), is virtually ‘scarless’ and that fewer port sites potentially reduces pain and lessens the risks of port site bleeding and the potential for port site hernia. SILS requires specially manufactured multichannel ports - and often roticulating instruments. It has most commonly been adopted in gallbladder and hernia surgery , although more in vitro fertilisation. remains debate as to whether the increased procedural di ffi culty , steep learning curve and increased direct costs in terms of devices, instruments and operating time can be o ff set by significant clinical benefit. Uniportal thoracic surgery requires less specialist equip ment; many minor thoracic procedures are commonly per formed using this technique. More complex resectional procedures are less commonly performed, largely because of technical complexity when compared with multiport niques, which are on the whole very well tolerated. Single-incision minimal access surgery

• Single-incision minimal access surgery has varied in popularity with both strong advocates and others who are sceptical of any advantages. Single-incision laparoscopic surgery (SILS) involves insertion of all instrumentation through a multiple channel port via a single incision at the umbilicus. The benefits are that the incision, through a natural scar (the umbilicus), is virtually ‘scarless’ and that fewer port sites potentially reduces pain and lessens the risks of port site bleeding and the potential for port site hernia. SILS requires specially manufactured multichannel ports - and often roticulating instruments. It has most commonly been adopted in gallbladder and hernia surgery , although more in vitro fertilisation. remains debate as to whether the increased procedural di ffi culty , steep learning curve and increased direct costs in terms of devices, instruments and operating time can be o ff set by significant clinical benefit. Uniportal thoracic surgery requires less specialist equip ment; many minor thoracic procedures are commonly per formed using this technique. More complex resectional procedures are less commonly performed, largely because of technical complexity when compared with multiport niques, which are on the whole very well tolerated. Single-incision minimal access surgery

• Single-incision minimal access surgery has varied in popularity with both strong advocates and others who are sceptical of any advantages. Single-incision laparoscopic surgery (SILS) involves insertion of all instrumentation through a multiple channel port via a single incision at the umbilicus. The benefits are that the incision, through a natural scar (the umbilicus), is virtually ‘scarless’ and that fewer port sites potentially reduces pain and lessens the risks of port site bleeding and the potential for port site hernia. SILS requires specially manufactured multichannel ports - and often roticulating instruments. It has most commonly been adopted in gallbladder and hernia surgery , although more in vitro fertilisation. remains debate as to whether the increased procedural di ffi culty , steep learning curve and increased direct costs in terms of devices, instruments and operating time can be o ff set by significant clinical benefit. Uniportal thoracic surgery requires less specialist equip ment; many minor thoracic procedures are commonly per formed using this technique. More complex resectional procedures are less commonly performed, largely because of technical complexity when compared with multiport niques, which are on the whole very well tolerated.