Scar less Laparoscopic gall bladder surgery

Scar less Laparoscopic gall bladder surgery -Dr Phani Krishna ravula


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 specialised equipment?


SILS surgery needs specialised ports and instruments in addition to a surgeon who is well versed in laparoscopic surgery.


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 large experience in gallbladder and bile duct surgery.


Is it a safe operation?


Patient selection is very important Not every patient who wants scar less surgery can be offered surgery. Generally pateint 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 specialised equipment used. It is definitely not much expensive compared to standard surgery.

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