single incision laparoscopic surgery-sils

SILSSingle Incision

Laparoscopic Surgery

World Laparoscopy Hospital – Delhi - India

R. K. MishraProfessor and Head of Minimal Access Surgery, TGO

University

Member World Association of Laparoscopic Surgeon (WALS)

Member European Association for Endoscopic Surgery (EAES)

Member European Association for Transluminal Surgery (EATS)

Member Indian Association of Gastrointestinal Endosurgeons (IAGES)

Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Director & Chairman, World Laparoscopy Hospital, New Delhi

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.

In India SILS was started first at

World Laparoscopy Hospital - Delhi

World Laparoscopy Hospital – Delhi - India

TWO PORT SURGERY – YEAR 2003

TWO PORT SURGERY – YEAR 2003

SILS IN INDIA

SYNONYM

S

PL: Single Port Laparoscopy

S

PA: Single Port Access Surgery

S

ILS: Single-Incision Laparoscopic Surgery

L

ESS: Laparoendoscopic Single-Site Surgery

O

PUS: One Port Umbilical Surgery

N

OTUS: Natural Orifice Trans-Umbilicus Endoscopic Surgery

World Laparoscopy Hospital – Delhi - India

EQUIPMENT FOR SILS

S

ILS device from :Covidien

G

el Point system from :Applied

Medical

R

-Port and TriPort from :Advanced

Surgical Concepts

U

ni-X from :Pnavel

World Laparoscopy Hospital – Delhi - India

INSTRUMENT FOR SCARLESS SURGERY

World Laparoscopy Hospital – Delhi - India

SILS

World Laparoscopy Hospital

ALTERNATIVE OF SILS PORT

World Laparoscopy Hospital – Delhi - India

World Laparoscopy Hospital – Delhi - India

SILS ACCESS

World Laparoscopy Hospital – Delhi - India

SILS ACCESS

World Laparoscopy Hospital – Delhi - India

HYSTERECTOMY

World Laparoscopy Hospital – Delhi - India

SILS – SLEEVE GASTRECTOMY

SILS TAPP- R.K. MISHRA

World Laparoscopy Hospital – Delhi - India

SCAR OF SILS

World Laparoscopy Hospital – Delhi - India

SCAR OF SILS

World Laparoscopy Hospital – Delhi - India

SILS VS OPEN VS LAP VS VAGINAL HYSTERECTOMY

World Laparoscopy Hospital – Delhi - India

ADVANTAGE OF SILS

C

osmesis +++

E

ase of Tissue Retrieval ++++

C

ombination Procedure +++

P

atient Acceptance ++++

Q

uality of life analysis ++

S

tandard Equipment ++

D

o not violate natural orifices ++++

S

urgeon’s Domain +++

World Laparoscopy Hospital – Delhi - India

DISADVANTAGE OF SILS

P

ain ??

V

iolating Principles of Ergonomics ????

H

ernia ??

W

ound Infection ???

L

earning Curve ??

C

ost effectiveness ???

World Laparoscopy Hospital – Delhi - India

OUR INNOVATION IN SILS

WHERE ARE WE GOING NEXT

SILSor

NOTES

World Laparoscopy Hospital – Delhi - India