HOW CAN SURGERY BE SCAR LESS?
It is not possible to magically perform operations without access to the abdomen. Scar less or SILS (single incision laparoscopic surgery) is an advanced technique in laparoscopy where the procedure is performed through the umbilicus instead of the traditional 4 or more laparoscopic incisions. As the incision is through the umbilicus the scar is virtually invisible. Single-incision laparoscopic surgical procedures require an experienced surgeon who is highly skilled and experienced in laparoscopic surgery.
WHAT ARE THE ADVANTAGES OF SCAR LESS LAPAROSCOPIC SURGERY (SILS)?
In addition to improved cosmetic outcomes. Single incision laparoscopic surgery leaves the patient with the potential for less post-operative pain, quicker recovery time and reduced risk of wound site infections.
DOES IT NEED SPECIALIZED EQUIPMENT?
SILS surgery needs specialised ports and instruments so that we can achieve triangulation at the surgical site. The imaging system should be high resolution with a HD or 3D camera. The most important factor is a surgeon with the large experience in these procedures both by open as well as laparoscopic route so that it can be done safely.
CAN ALL SURGERIES BE PERFORMED LAPAROSCOPICALLY?
Though a wide range of surgeries have been attempted by SILS as of now it is performed on a regular basis for few standard laparoscopic procedures such as laparoscopic cholecystectomy, appendectomy and obesity surgery. Especially for surgeries like cholecystectomy with risk of bile duct injury it should performed by a surgical gastroenterologist with in-depth knowledge of the gallbladder and bile duct anatomy and physiology.
IS IT A SAFE OPERATION?
Patient selection is very important Not every patient who wants scar less surgery can be offered surgery. Generally patient uncomplicated appendicitis / cholecystitis can undergo scar less surgery. However if local factors are not conducive safe completion of the procedure is more important than cosmesis. Patients should be prepared for conversion to reduced port or multiport laparoscopic surgery if situation warrants.
IS IT AN EXPENSIVE OPERATION?
If the patient built and local factors make it feasible to perform scar less laaproscpic surgery the cost is only marginally higher than standard laproscopic surgery because of the few additional specialized equipment used. It is definitely not much expensive compared to standard surgery.
WHAT CAN WE EXPECT AFTER SURGERY?
The surgery can be performed in about one hour with a typical hospital stay of less than 24 hours.
- You will have mild pain and soreness at umbilicus with a 1.5 to 2 cm incision hidden in the umbilicus grove. Patients will probably be able to get back to normal activities within 3-4 days time, including driving, walking up stairs, light lifting and work.
- In two weeks time the scar is contracts and disappear into the umbilical fold & becomes virtually invisible. You have undergone a magically scarless operation on your tummy!!