scholarly journals Single-Port Laparoscopic Surgery in Children: Concept and Controversies of the New Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Felix C. Blanco ◽  
Timothy D. Kane
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Single Incision ◽  
Single Port ◽  
Single Incision Laparoscopic Surgery ◽  
Alternative Technique ◽  
Minimally Invasive Techniques ◽  
Broad Application ◽  
Invasive Techniques

Single-incision laparoscopic surgery (SILS) is emerging as an alternative technique to conventional laparoscopy for the treatment of common surgical diseases. Despite its wide use, the adoption of SILS in children has been slower since the broad application of minimally invasive techniques in children, in general, has historically lagged behind those in adults. This paper reviews the evolution of SILS from its original conception and its application in the field of pediatric surgery.

Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)

2018 ◽  
Author(s):  
Mark A. Gromski ◽  
Kai Matthes
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Current State ◽  
Field Notes

This chapter introduces the concepts of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). The field of NOTES has evolved over the past decade, and this developmental framework is also outlined to help better understand the current state of the field. NOTES describes a minimally invasive approach to surgical diseases in which instruments are passed transluminally to achieve access to the desired body. SILS is a minimally invasive approach carried out as an extension of traditional laparoscopic surgery. The anesthetic implications of NOTES and SILS are explained, including potential complications that are unique to each. Finally, future directions in developmental endoscopy are discussed to give a sense of what types of procedures may become available or commonplace in the coming decade.

Single-Incision Transumbilical Laparoscopic Splenic Cyst Unroofing: First Reported Case

2010 ◽  
Vol 76 (5) ◽  
pp. 509-511
Author(s):  
Alan A. Saber ◽  
Tarek H. El-Ghazaly
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Single Incision ◽  
Single Point ◽  
Laparoscopic Approach ◽  
Splenic Cyst ◽  
Single Incision Laparoscopic Surgery ◽  
Invasive Approach ◽  
Conventional Laparoscopic Surgery ◽  
Point Of Entry

Single-incision laparoscopic surgery is an emerging minimally invasive approach. When using the single-incision laparoscopic surgery approach, the surgeon operates almost exclusively through a single point of entry, usually the patient's umbilicus. This approach is steadily gaining popularity among minimally invasive surgeons, as it combines the cosmetic advantage of Natural Orifice Translumenal Surgery with the technical familiarity of conventional laparoscopic surgery. In this report, we describe our implementation of the single-incision laparoscopic approach to perform an unroofing of a posttraumatic splenic cyst; in this case, the entire procedure is performed through a 2-cm intraumbilical incision.

scholarly journals Application of Iconport single incision sealing device in laparoscopic surgery.(Experience in 125 cases of appendectomy)

2019 ◽  
Author(s):  
Xiaojun Wang ◽  
Haibo Jin ◽  
YongFeng Shuai ◽  
YiZhong Zhang
Keyword(s):  
Laparoscopic Surgery ◽  
Laparoscopic Appendectomy ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Single Incision Laparoscopic Surgery ◽  
Clinical Value ◽  
Peritoneal Effusion ◽  
Port Device ◽  
Sealing Device

Abstract Background To discuss the reliability and clinical value of Iconport, a Self-made single port device, which was applied for transumbilical single port laparoscopic appendectomy. Methods The incision was around 2.5 cm long with curved form around umbilicus. And the skin and each layer of the abdominal wall were cut in sequence. Then the silica gel sleeve of the self-made single-incision sealing device was folded, clamped by the forceps, and carefully inserted into the incision for sealing. The operation of laparoscopic appendectomy was accomplished by-use routine linetype laparoscopic instruments via Iconport. The specimen was discharged from peritoneal cavity through the single port device. Two layers of incision, linea alba abdominus and skin, were separately sutured by absorbable thread and each layer was sutured successively. Results Among the 125 patients, 119 were successfully performed single-port laparoscopic appendectomy, with the operation time ranging from 30 to 110 min (69.34±21.4 min on average). In 6 cases, auxiliary operating hole was added or laparotomy was performed. Total hospital stay was 5.0±1.8 (2-14) days. 5 cases of incision infection. All patients were followed up for 1 to 6 months after surgery, with an average of 3 months. There were no complications such as bleeding, intestinal leakage, intestinal obstruction, and residual peritoneal effusion. Conclusion In single-incision laparoscopic surgery, the u-shaped incision around the umbilical margin of 2.5cm for adult can not only meet the requirements of flexibility of instruments in the operation, but also meet the aesthetic requirements because the incision scar is hidden in the umbilical foramen or looks like the umbilical foramen after the operation. Iconport single-hole device, which has potential promotion value, can be used in relatively simple laparoscopic surgery alone or combined with a single puncture device for relatively complex laparoscopic surgery.

scholarly journals KEEL-SHAPED DEFORMITY OF THE CHEST

2018 ◽  
Vol 8 (3) ◽  
pp. 45-52
Author(s):  
M. A. Akselrov ◽  
М. P. Razin ◽  
M. N. Satyvaldayev ◽  
G. B. Vol’skiy ◽  
V. A. Skobelev ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Constant Pressure ◽  
Hospital Treatment ◽  
Minimally Invasive Techniques ◽  
Clinical Hospital ◽  
Results Of Treatment ◽  
Treatment Stage ◽  
Invasive Techniques

Purpose.To analyze the results of treatment of children with keel-shaped deformity of the chest using various methods.Materials and methods.The work is based on the retrospective analysis of treatment outcomes for 28 children who obtained treatment for KSDC at pediatric surgical departments of Regional Clinical Hospital No. 2 in Tyumen and Children’s Regional Clinical Hospital in Kirov. These are clinical bases of pediatric surgery departments of Tyumen and Kirov State Medical Universities. Various treatment methods were applied including chest constant pressure devices and thoracoplasties.Results and discussion. The Ravich procedure was done in 14 children. The patients stayed at the hospital for 18±3 days and required prolonged anesthesia and long-term antibacterial therapy; discharge was followed by long-term immobilization with a plaster or polymer corset. 6 children had surgeries using smallinvasive thoracoplasty based on the method offered by H. Abramson. The hospital treatment stage was 7 to 11 days. 8 children had therapy using orthosis.Conclusion. The authors believe that mental traumas caused by a keel-shaped deformity require minimally invasive techniques for correction that eliminate the deformity considering esthetic requirements of a patient.

scholarly journals Single-incision videolaparoscopic appendectomy with conventional videolaparoscopy equipment

2014 ◽  
Vol 27 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Rodrigo Nascimento PINHEIRO ◽  
Renato Costa SOUSA ◽  
Fernanda Mesquita de Brito CASTRO ◽  
Roberta Oliveira de ALMEIDA ◽  
Gustavo de Castro GOUVEIA ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Acute Appendicitis ◽  
Minimally Invasive ◽  
Single Incision ◽  
Care Center ◽  
Iliac Fossa ◽  
Invasive Technique ◽  
Diffuse Peritonitis ◽  
Single Incision Laparoscopic Surgery ◽  
Intravenous Contrast

Background : Acute appendicitis is the most common surgical emergency in daily practice, and is approached laparoscopically in many centers. Efforts have been undertaken for the development of minimally invasive techniques that reduce tissue trauma and offer improved cosmetic results, one of such being the single-incision laparoscopic surgery (SILS). Aim : To present a minimally invasive technique for appendectomy (SILS) undertaken with conventional instruments. Method : Eleven patients were treated in the emergency care center presenting abdominal pain in the right iliac fossa that was suggestive of appendicitis. Diagnostic investigation was subsequently conducted, including physical examination, laboratory and imaging exams (CT scan with intravenous contrast or total abdominal ultrasound), and the results were consistent with acute appendicitis. Thus, after consent, these patients underwent SILS appendectomy under general anesthesia with three trocars (two 10 mm and one 5 mm), using conventional and optical laparoscopic tweezers (10 mm, 30º). The base and pedicle of the appendix were ligated with titanium LT 400 clips. The procedure occurred uneventfully. Inclusion criteria were absence of diffuse peritonitis, BMI (body mass index) less than 35 and absence of serious comorbidities or sepsis. Results : Seven men and four women were operated with average age of 25.7 years and underwent appendectomy through this technique. Mean procedure duration was of 37.2 min. Regarding surgical findings, three had appendicitis in stage 1, four in stage 2 and four in stage 3. All patients improved well, without surgical complications, and did not require conversion to open surgery or conventional laparoscopy technique. Conclusion : Appendectomy conducted through Single Incision Laparoscopic Surgery is a feasible and promising technique that can be performed with conventional laparoscopic instruments.

scholarly journals Single Incision Gasless Laparoscopic Surgeries and other Low-cost Minimally Invasive Techniques for Evaluation of Infertility in Rural Areas

2014 ◽  
Vol 5 (1) ◽  
pp. 30-31
Author(s):  
Linda Sailo ◽  
Gnanaraj Jesudian
Keyword(s):  
Minimally Invasive ◽  
Rural Areas ◽  
Single Incision ◽  
Low Cost ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

ABSTRACT Single incision Lift laparoscopic surgeries offer a very attractive and low cost option of evaluation of infertility in rural areas. We describe this and other minimally invasive low cost methods used in evaluation and management of infertility in rural areas. How to cite this article Sailo L, Jesudian G. Single Incision Gasless Laparoscopic Surgeries and other Low-Cost Minimally Invasive Techniques for Evaluation of Infertility in Rural Areas. Int J Infertil Fetal Med 2014;5(1):30-31.

Sign in / Sign up

Export Citation Format

Share Document