Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option

Vidal, Òscar; Ginestà, César; Valentini, Mauro; Martı́, Josep; Benarroch, Guerson; García‐Valdecasas, Juan Carlos

doi:10.1007/s00464-010-1307-4

Cited by 32 publications

(29 citation statements)

References 14 publications

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“…All studies reported a single skin incision through the umbilicus except four, [1][2][3][4] in which surgeons performed an infraumbilical incision. The literature broadly describes three approaches to SPILA referred to throughout this review as: > SPILA unassisted: any procedure using specialised or conventional laparoscopic instruments through a single skin incision in the abdominal wall, regardless of the number of fascial incisions > SPILA assisted: as SPILA with the additional use of percutaneous sutures or wires to 'assist' the operation > Hybrid: any procedure in which the appendix was exteriorised using a single incision, laparoscopically assisted operation but divided subsequently using a conventional 'open' appendicectomy technique…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Rehman¹,

Ahmed

2011

annals

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INTRODUCTION Single port/incision laparoscopic surgery (SPILS) is a modern advancement toward stealth surgery. Despite the paucity of high-quality scientific studies assessing its effectiveness, this procedure is being used increasingly. This review aims to describe commonly used techniques for SPILS appendicectomies (SPILA), to summarise complication rates in the literature and to provide discussion on indications and implementation. METHODS All available databases including the Cochrane Central Register of Controlled Trials, MEDLINE ® and Embase ™ were searched in February 2011 and cross-referenced for available English literature describing SPILA in patients of any age. RESULTS Three broad technical approaches are described: procedures using laparoscopic instruments through a single skin incision in the abdominal wall, regardless of the number of fascial incisions, with or without the additional use of percutaneous sutures or wires to 'assist' the operation, and hybrid procedures, in which the appendix is exteriorised using a single incision laparoscopically assisted operation but subsequently divided using a conventional 'open' appendicectomy technique. Complication rates seem to be highest in SPILA procedures unassisted by sutures or wires. CONCLUSIONS Future research assessing the efficacy of single incision laparoscopic procedures should consider variation in technique as a possible factor affecting outcome.

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Section: Surgical Techniquesmentioning

confidence: 99%

“…Twenty studies [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] including 584 patients met the definition criteria for 'SPILA unassisted' approaches. The use of special multi-conduit ports was reported in four studies [4][5][6][7] ( Fig 1).…”

Section: Spila Unassistedmentioning

confidence: 99%

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Rehman¹,

Ahmed

2011

annals

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“…4,[12][13][14][15][16][17][18] But the successive rate of SILS technique can be confirmed by prospective clinical trial but no study was found yet.…”

Section: Discussionmentioning

confidence: 98%

“…4 Although claims of enhanced recovery and pain as well as blood loss and complication reduction as compared with conventional laparoscopic and open procedures have yet to be proved demonstrably, single port/incision laparoscopic procedures are increasingly being performed. [5][6][7] Reduced scarring is the most evident advantage of single incision laproscopic surgery (SILS). Optimal cosmetic results are obtained through intraumbilical incision as the scar will be concealed within the umbilicus but a major concern may be injury to the epigastric vessels.…”

Section: Discussionmentioning

confidence: 99%

An observational study to compare single incision laparoscopic appendectomy with conventional multiport laparoscopic appendectomy

et al. 2016

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INTRODUCTIONAcute appendicitis is the most common surgical emergency and carries lifetime risk of 8%. 1 Appendectomy has been the primary treatment of choice for acute appendicitis, and although antibiotics have established some use but surgery remains the treatment of choice. Open surgery, laparoscopic appendectomy and now single port surgery for appendicitis has become routine approach.Laparoscopic surgery also called minimally invasive surgery (MIS), is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5-1.5 cm) as opposed to the larger incisions needed in laparotomy and considered as gold standard treatment for acute appendicities.2-4 This technique has many advantages over open procedure like reduced pain due to smaller incisions and hemorrhage, and shorter recovery time. But this technique had a limitation of scars after surgery hence a novel technique has evolved called single incision laparoscopic surgery (SILS), preferably in the navel, with advantages of ABSTRACT Background: Appendicitis is the most common intra-abdominal condition requiring emergency surgery and it is approached by laparoscopic procedures. Innovative methods were developed that reduce tissue trauma and offer improved cosmetic results, one of such being the single-incision laparoscopic surgery (SILS) with advantages of reduced postoperative morbidity and almost invisible scar. Methods: 60 patients were included in the study after meeting inclusion criteria and divided into two groups 30 each. One group had undergone single incision laparoscopic appendectomy and other with multiple port laparoscopic appendectomy. Preoperative, intraoperative and postoperative parameters were collected. Data involving patients' demographics, operative time, length of hospital stay and both intraoperative and postoperative complications were collected. Results: The mean duration of surgery in multiple appendectomy was lesser compared to single port appendectomy and values are insignificant (p =0.1844) when compared between the two groups. None of the patients in both the groups did not have any intraoperative complication. Only one patient in single port appendectomy converted to open surgery. The mean postoperative pain VAS score was 2.00 in multiport appendectomy group which was significantly more as compared to 1.60 among single port appendectomy group after 24 hrs. The postoperative complications and the duration of stay in hospital were almost similar in both the groups. The complications observed during follow up in both the cases were minimal and statistically insignificant. Conclusions: The major advantage of SILS is cosmetic satisfaction, while the disadvantages of SILS are longer operative time and higher conversion rate.

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“…10,11 Various methods have been reported, from a single incision at the right iliac fossa 12 to use of a single suprapubic incision that can be concealed in the pubic hair. 13 Among these methods, a single incision at the umbilicus is virtually scarless. Since 1992, after the initial performance of a single-trocar appendectomy by Pelosi various studies evaluating transumbilical single incision laparoscopic appendectomies have been conducted.…”

Section: Introductionmentioning

confidence: 99%

A comparative study between single incision laparoscopic appendectomy and conventional laparoscopic appendectomy

Wani

Mir

Yaqoob³

et al. 2016

Int Surg J

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Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option

Cited by 32 publications

References 14 publications

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

An observational study to compare single incision laparoscopic appendectomy with conventional multiport laparoscopic appendectomy

A comparative study between single incision laparoscopic appendectomy and conventional laparoscopic appendectomy

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