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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 7, No. 1, 2011, pp. 28-32
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Bioline Code: ma11006
Full paper language: English
Document type: Special Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 7, No. 1, 2011, pp. 28-32
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Single-incision multi-port laparoscopic appendectomy: How I do it
Bhatia, Parveen; Sabharwal, Vinay; Kalhan, Sudhir; John, Suviraj; Deed, Jagpreet S. & Khetan, Mukund
Abstract
Introduction : Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy. Methods: We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique. Results: The operative time was 63 ± 20 min, blood loss 6.5 ± 5 mL, bowel movement (passing stool) occurred in 2.6 ± 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar. Conclusion: Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.
Keywords
Single-incision laparoscopic surgery, single access laparoscopic surgery, appendectomy, appendicectomy, single port access surgery
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