single incision laparoscopic surgery
DESCRIPTION
Advantages of Single Incision Laparoscopic Surgery. medical Breakthroughs via Minimally Invasive surgeryTRANSCRIPT
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Single Incision Laparoscopic Surgery (SILS)
By
Dr. Ashish Shah
Consultant General/Gastroenterology/Laparoscopic
Surgery, Wockhardt Hospitals
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Anatomy of the Digestive System
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Gall Bladder Diseases
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Symptoms of Gall Stones
• Abdominal pain – after food
• Back Pain
• Chest pain
• Nausea/Vomiting
• Jaundice
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Symptoms of appendicitis
• Abdominal pain – periumbilical/right lower abdominal pain
• Nausea/Vomiting
• Fever
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Laparoscopic Surgery
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Conventional Laparoscopic Cholecystectomy/Appendicectomy
4 Ports (keyhole) for Cholecystectomy & 3 for Appendicectomy
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SILS- A Perspective
• Global:
• Gained popularity in the last 1-2 yrs
• Currently offered at major laparoscopy centres
• India:
• Introduced about 1yr ago in Mumbai
• Very few centres offering SILS due to lack of expertise and equipment
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SILS – Single Incision Laparoscopic Surgery
Laparoscopic surgery through one 20mm incision (cut) at the umbilicus
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SILS – The Procedure
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SILS –The Wockhardt Experience
• 4 months (4/05/09 till date)
• 10 patients – 9 Female pts, 1 Male pt
• 7 Cholecystectomies – 6 Female, 1 Male
• 4 Appendicectomies – 4 Female
• Youngest – 21 yrs (Appendicectomy)
• Oldest – 62 yrs (Cholecystectomy)
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SILS – Wockhardt Experience
• Recovery: In hospital-Ambulation 3 hrs post operation
• Stay: Overnight stay
• Analgesia (Pain medication): Decreased requirement-compared to conventional Laparoscopic
• Earlier return to routine activity
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SILS v/s Conventional Laparoscopy
• Cosmetically superior
• Lesser pain and decreased need for analgesics
• Earlier recovery
• Earlier return to activity
• Applicable to many common surgical conditions – GB stones, Appendicitis, Hernia, to name a few
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Who can perform SILS?
• Experienced Laparoscopic Surgeons who routinely perform advanced Laparoscopic surgeries
• For whom:
All patients who would need Laparoscopic surgery especially for uncomplicated Gallstones, Appendicitis or Hernia
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Way forward…
• SILS-The next big step forward in Laparoscopic Surgery
• Offers cosmetic benefit and quicker recovery than conventional Laparoscopy
• Applicable to patients requiring Laparoscopic procedures for uncomplicated conditions
• SILS offered routinely to suitable patients at Wockhardt Hospital, Cunningham Road
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Thank You