single incision laparoscopic surgery-sils

SILSSingle Incision

Laparoscopic Surgery

World Laparoscopy Hospital – Delhi - India

R. K. MishraProfessor and Head of Minimal Access Surgery, TGO

University

Member World Association of Laparoscopic Surgeon (WALS)

Member European Association for Endoscopic Surgery (EAES)

Member European Association for Transluminal Surgery (EATS)

Member Indian Association of Gastrointestinal Endosurgeons (IAGES)

Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Director & Chairman, World Laparoscopy Hospital, New Delhi

HISTORY

SILS was first performed for

the treatment of appendicitis

at Department of Pediatric

Surgery, Dokuz Eylul Medical

School, Izmir, Turkey and first

presented at—The Annual

Congress of Turkish

Association of Paediatric

Surgeons,

October 2005.

In India SILS was started first at

World Laparoscopy Hospital - Delhi


TWO PORT SURGERY – YEAR 2003

SILS IN INDIA

SYNONYM

S

PL: Single Port Laparoscopy

S

PA: Single Port Access Surgery

S

ILS: Single-Incision Laparoscopic Surgery

L

ESS: Laparoendoscopic Single-Site Surgery

O

PUS: One Port Umbilical Surgery

N

OTUS: Natural Orifice Trans-Umbilicus Endoscopic Surgery


EQUIPMENT FOR SILS

S

ILS device from :Covidien

G

el Point system from :Applied

Medical

R

-Port and TriPort from :Advanced

Surgical Concepts

U

ni-X from :Pnavel


INSTRUMENT FOR SCARLESS SURGERY


SILS

World Laparoscopy Hospital

ALTERNATIVE OF SILS PORT


SILS ACCESS


HYSTERECTOMY


SILS – SLEEVE GASTRECTOMY

SILS TAPP- R.K. MISHRA


SCAR OF SILS


SILS VS OPEN VS LAP VS VAGINAL HYSTERECTOMY


ADVANTAGE OF SILS

C

osmesis +++

E

ase of Tissue Retrieval ++++

C

ombination Procedure +++

P

atient Acceptance ++++

Q

uality of life analysis ++

S

tandard Equipment ++

D

o not violate natural orifices ++++

S

urgeon’s Domain +++


DISADVANTAGE OF SILS

P

ain ??

V

iolating Principles of Ergonomics ????

H

ernia ??

W

ound Infection ???

L

earning Curve ??

C

ost effectiveness ???


OUR INNOVATION IN SILS

WHERE ARE WE GOING NEXT

SILSor

NOTES


single incision laparoscopic surgery-sils

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