SILS - World Laparoscopy Hospital€¦ · at Department of Pediatric Surgery, Dokuz Eylul Medical...

SILS Single Incision Laparoscopic Surgery

World Laparoscopy Hospital

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.

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SYNONYM

SPL: Single Port Laparoscopy

SPA: Single Port Access Surgery

SILS: Single-Incision Laparoscopic Surgery

LESS: Laparoendoscopic Single-Site Surgery

OPUS: One Port Umbilical Surgery

NOTES: Natural Orifice Translumenal Endoscopic Surgery

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E QUIPME NT FOR SILS

SILS device from

:Covidien

Gel Point system from

:Applied Medical

R-Port and TriPort from

:Advanced Surgical Concepts

Uni-X from

:Pnavel

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INSTRUMENT FOR SCARLESS

SURGERY

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SILS

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ALTERNATIVE OF SILS PORT

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ALTERNATIVE PORT

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SILS PORT

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SILS SET-UP

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LESS HYSTERECTOMY SET-UP

Laparoscope Placement

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LESS HYSTERECTOMY SET-UP

Laparoscope Placement

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SILS ACCESS

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HYSTERECTOMY

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SUTURING IN SILS

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SILS CLOSURE

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SCAR OF SILS

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SCAR OF SILS

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SILS VS OPEN VS LAP VS

VAGINAL HYSTERECTOMY

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ADVANTAGE OF SILS

Cosmesis +++

Ease of Tissue Retrieval ++++

Combination Procedure +++

Patient Acceptance ++++

Quality of life analysis ++

Standard Equipment ++

Do not violate natural orifices ++++

Surgeon’s Domain +++

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DISADVANTAGE OF SILS

Pain ??

Violating Principles of Ergonomics ????

Hernia ??

Wound Infection ???

Learning Curve ??

Cost effectiveness ???

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WHERE ARE WE GOING

NEXT

S I L S

o r

N O T E S

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