Surgery is one of the fields in medicine that continues to evolve very rapidly. The advances that have been made in the field have made it possible to perform major operations with very few complications. Apart from restoring of function in diseased organs, many patients care about the cosmetic appearance of their skin as much as they want to function normally again. This is the main reason as to why minimally invasive techniques such as single incision laparoscopic surgery are replacing open surgeries in New York city.
Laparoscopic operations have traditionally required three entry ports made in the anterior abdominal wall to facilitate the entry of the laparoscope and the instruments. For single incision surgery, only one of these ports is required for both the laparoscope and the instruments. For this reason, the operation is also known as single port access surgery (SPA) or single port Laparoscopy (SPL).
There are a number of surgical operations that can be performed using this technique. They include gallbladder removal, repair of inguinal and incisional hernias, appendectomy and the removal of pelvic organs such as the ovary and the uterus among others. This list continues to grow by the day as better instruments are invented to make it easier to perform such operations.
One of the advantages is that there is less pain as compared to the traditional approach of laparoscopy. As a result, the patients tend to heal a lot faster. It also yields better results cosmetically bearing in mind that only a small opening is made. The main undoing would be the fact that it is marginally expensive than the traditional methods primarily due to the specialized equipment that is used.
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.
In spite of the huge success that is attributable to this type of operation, there are some risks that one should be aware of before signing up for it. Bleeding and infections are the most commonly encounter. However, fewer cases are seen as compared to those associated with open surgery and ordinary laparoscopic operations. Incisional hernias that are fairly common with the open technique are a rare occurrence.
Single incision surgery is fast becoming one of the most popular techniques among patients and surgeons. This is mainly due to its minimal invasive nature that results in better cosmetic results. The risks involved are also reduced markedly. The fields of gynecology and pediatrics appear to be on the forefront in embracing this specialized procedure.
Laparoscopic operations have traditionally required three entry ports made in the anterior abdominal wall to facilitate the entry of the laparoscope and the instruments. For single incision surgery, only one of these ports is required for both the laparoscope and the instruments. For this reason, the operation is also known as single port access surgery (SPA) or single port Laparoscopy (SPL).
There are a number of surgical operations that can be performed using this technique. They include gallbladder removal, repair of inguinal and incisional hernias, appendectomy and the removal of pelvic organs such as the ovary and the uterus among others. This list continues to grow by the day as better instruments are invented to make it easier to perform such operations.
One of the advantages is that there is less pain as compared to the traditional approach of laparoscopy. As a result, the patients tend to heal a lot faster. It also yields better results cosmetically bearing in mind that only a small opening is made. The main undoing would be the fact that it is marginally expensive than the traditional methods primarily due to the specialized equipment that is used.
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.
In spite of the huge success that is attributable to this type of operation, there are some risks that one should be aware of before signing up for it. Bleeding and infections are the most commonly encounter. However, fewer cases are seen as compared to those associated with open surgery and ordinary laparoscopic operations. Incisional hernias that are fairly common with the open technique are a rare occurrence.
Single incision surgery is fast becoming one of the most popular techniques among patients and surgeons. This is mainly due to its minimal invasive nature that results in better cosmetic results. The risks involved are also reduced markedly. The fields of gynecology and pediatrics appear to be on the forefront in embracing this specialized procedure.
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