Surgery has evolved in a great way in the last few decades. Unlike in the past, when the main objective was to restore functionality, cosmesis appear to carry a lot of significance these days. In Ne York city for example, patients are increasingly requesting for smaller incisions so as to reduce the sizes of scars. This is perhaps what gave rise to laparoscopic surgery and most recently, single incision laparoscopic surgery. In this article we explore what exactly this operation is and what its benefits and downsides are.
Laparoscopic surgeries use three to five openings that are much smaller than the incision used for open surgeries. In single incision surgery only one is required. General anesthesia is usually required just as is the case with many other operations. Other terms used to describe the technique include single port laparoscopy, SPL, and single port access surgery, SPA.
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 benefits that are associated with using this technique. One of them is the fact that the recovery time is shorter. Most of the people that have been operated on can return to work in a week. With only one incision, the cosmetic results are a lot better than with conventional laparoscopic operations. The main disadvantage on the patient is that they may have to pay a little more mainly due to the high level of specialization.
There is significant technical challenge is the surgeon is not experienced enough with the technique. Challenges mainly arise from the difficulty of maneuvering the instruments in the same opening. The crowding caused by these instruments makes it difficult to the field clearly. Taking this into account, the risk of intraoperative injury is actually higher in less experienced hands as compared to other methods.
The technique is a bit difficult to execute in persons that are very obese. The same challenges may be encountered in persons who have an organ that is massively enlarged or those that have undergone other abdominal surgeries in the past. At times, it is not possible to complete the operation using the single incision. Whenever that happens more ports are created or a conventional (longer) incision made.
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 a specialist procedure that continues to rise in popularity among surgeons and patients. Due to its minimal invasive nature, the risks that are usually associated with operations are markedly reduced. Gynecology and pediatrics are the two fields of medicine that have readily embraced the technique.
Laparoscopic surgeries use three to five openings that are much smaller than the incision used for open surgeries. In single incision surgery only one is required. General anesthesia is usually required just as is the case with many other operations. Other terms used to describe the technique include single port laparoscopy, SPL, and single port access surgery, SPA.
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 benefits that are associated with using this technique. One of them is the fact that the recovery time is shorter. Most of the people that have been operated on can return to work in a week. With only one incision, the cosmetic results are a lot better than with conventional laparoscopic operations. The main disadvantage on the patient is that they may have to pay a little more mainly due to the high level of specialization.
There is significant technical challenge is the surgeon is not experienced enough with the technique. Challenges mainly arise from the difficulty of maneuvering the instruments in the same opening. The crowding caused by these instruments makes it difficult to the field clearly. Taking this into account, the risk of intraoperative injury is actually higher in less experienced hands as compared to other methods.
The technique is a bit difficult to execute in persons that are very obese. The same challenges may be encountered in persons who have an organ that is massively enlarged or those that have undergone other abdominal surgeries in the past. At times, it is not possible to complete the operation using the single incision. Whenever that happens more ports are created or a conventional (longer) incision made.
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 a specialist procedure that continues to rise in popularity among surgeons and patients. Due to its minimal invasive nature, the risks that are usually associated with operations are markedly reduced. Gynecology and pediatrics are the two fields of medicine that have readily embraced the technique.
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