Page 20 - Journal of World Association of Laparoscopic Surgeons

Study of Feasibility of Single Incision Laparoscopic Surgery with Conventional Instruments
dIscussIon In this study, it was observed that it was possible to perform
Scarless surgery is the Holy Grail of surgery and the main purpose the procedure with conventional instruments in a timely and safe
manner, provided that it be performed by experienced surgeon.
of minimal access surgery was the reduction of scars and thereby
pain and suffering of the patients. SILS is a very exciting new conclusIon
modality in the field of minimal access surgery which works for
further reducing the scars of standard laparoscopy and toward SILS for appendectomy and cholecystectomy can be performed
scarless surgery. using conventional laparoscopic instruments, provided surgeon
In this prospective observational study, 40 patients were studied. has adequate expertise.
Out of 40 patients, 21 were patients suffering from appendicitis Though SILS has more operative time, it has comparable
(chronic/recurrent) and 19 were patients of symptomatic postoperative hospital stay, causes less pain, has comparable
cholelithiasis. All of the patients undergone surgery for respective hospital stay, and has significantly more patient satisfaction
diseases by SILS method. regarding postoperative scar and cosmesis.
There were 14 male and 26 female patients in total out of which Since SILS has more patient acceptance and satisfaction, it
appendicitis group consisted of 7 males (33.3%) and 14 females can be offered to all patients undergoing laparoscopic surgery,
(66.6%), while cholelithiasis group consisted of 7 males (36.8%) and irrespective of unavailability of special instruments and financial
12 females (63.1%). The ages of patients ranged from 17 years to constraints, as it can be performed using conventional laparoscopic
53 years with a mean age of 32.2 years. Mean age of appendectomy instruments.
group was 28.71 ± 9.69 years and mean age of cholecystectomy
group was 36.71 ± 10.48 years. references
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18 World Journal of Laparoscopic Surgery, Volume 12 Issue 1 (January–April 2019)