scholarly journals Pure SILS Floppy Nissen Fundoplication with Hiatal Repair: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Umut Barbaros ◽  
Tugrul Demirel ◽  
Aziz Sumer ◽  
Ugur Deveci ◽  
Mustafa Tukenmez ◽  
...  
Keyword(s):  
Single Incision ◽  
Nissen Fundoplication ◽  
Left Lobe ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Invasive Procedures ◽  
Umbilical Incision ◽  
Single Incision Laparoscopy ◽  
Standard Laparoscopy ◽  
Sliding Hiatus Hernia

Background. Single-incision laparoscopic surgery has recently became popular on behalf of inventing less invasive procedures. In this paper, we present a case of Pure SILS Nissen Fundoplication. Patient and Methods. In February 2010 a 29-year old male patient with a 4 cm sliding hiatus hernia presenting with reflux symptoms had undergone a standard floppy Nissen Fundoplication with a hiatus repair via single 2 cm incision in umbilicus. Results. The procedure had obeyed the standard natural orifice surgery rules, and no needlescopic assistance for any stage of the operation was used so to be a pure single-incision procedure. The operation lasted for 120 minutes without any need of conversion, and the patient was discharged the following day of operation. Conclusion. In the recent time, hybrid single incision laparoscopy techniques have been defined with the use of extra-abdominal supplements for retraction of liver or stomach for Nissen procedure. In addition the main issue in single-incision upper GI and/or hiatus surgery is still the retraction of liver. We succeeded to retract the left lobe of liver through the incision and completed the operation without any need for supplemental access besides the umbilical incision till the end. SILS Hiatus Surgery can be safely and effectively done but the issue needs further clinical studies to state the efficacy when compared to standard laparoscopy.

scholarly journals Fundamentals of the Currently Available Single Port Abdominal Laparoscopic Gynecologic Systems and Utility in Minor Gynecologic Surgery

2021 ◽  
Author(s):  
M. Luann Racher ◽  
Ann Marie Mercier
Keyword(s):  
Single Incision ◽  
Surgical Techniques ◽  
Gynecologic Surgery ◽  
Single Incision Laparoscopic Surgery ◽  
Single Incision Laparoscopy ◽  
Surgical Access ◽  
Single Incision Surgery ◽  
Added Benefit ◽  
Multiport Laparoscopy

Single incision laparoscopic surgery encompasses a plethora of techniques and styles. Single incision laparoscopy has demonstrated outcomes comparable to traditional multiport laparoscopy with the added benefit of improved cosmesis. This book chapter will review single incision surgery for minor gynecologic surgery, including adnexal surgical procedures and myomectomy. The chapter reviews available data in regard to outcomes in single incision laparoscopy. It also discusses the commercially available single incision surgical access systems, laparoscopes, and accessory instruments. Surgical techniques beneficial in single incision laparosocpy, including uterine manipulation, are also reviewed.

Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)

2018 ◽  
Author(s):  
Mark A. Gromski ◽  
Kai Matthes
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Current State ◽  
Field Notes

This chapter introduces the concepts of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). The field of NOTES has evolved over the past decade, and this developmental framework is also outlined to help better understand the current state of the field. NOTES describes a minimally invasive approach to surgical diseases in which instruments are passed transluminally to achieve access to the desired body. SILS is a minimally invasive approach carried out as an extension of traditional laparoscopic surgery. The anesthetic implications of NOTES and SILS are explained, including potential complications that are unique to each. Finally, future directions in developmental endoscopy are discussed to give a sense of what types of procedures may become available or commonplace in the coming decade.

scholarly journals The use of single incision laparoscopic surgery techniques and natural orifice transluminal endoscopic surgery – a nationwide survey

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
R Fahrner ◽  
F Mazzola ◽  
M Adamina
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Nationwide Survey ◽  
Small Bowel Resection ◽  
Public Hospitals ◽  
Visceral Surgery ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
The Past

Abstract Objective Since the first report of transgastric peritoneoscopic surgery in 2004, minimal invasive surgery (MIS) including conventional laparoscopy, natural orifice transluminal endoscopic surgery (NOTES), single incision laparoscopic surgery (SILS), and robotic surgery have gained traction in general and visceral surgery. While laparoscopic surgery is now the gold standard in many institutions, other MIS approaches lag behind in spite of the enthusiasm of few promoters. The present study investigates the current role of NOTES and SILS in Switzerland. Methods All Swiss surgical departments where queried. Heads of department were asked to complete a detailed questionnaire regarding the use of NOTES and SILS techniques, reminders were sent twice. Results Of 93 departments queried, 63 (68%) answered the survey and most were public hospitals (92%). One third of general surgery departments and 46% of visceral surgery departments had the highest accreditation level A and V1, respectively. While up to 27% of the responding hospitals had performed NOTES in the past, only about 9% still use the technique today. Since January 2019, only two departments performed NOTES cholecystectomy, one department NOTES colectomy and three departments NOTES total mesorectal excision. The main reasons for not performing NOTES anymore were lack of perceived benefits, higher costs, increased morbidity in routine procedures, no patient demand, and the lack of surgical expertise. A similar picture was found regarding the use of SILS, with 37% of hospitals having past experience with SILS and only 13% still performing SILS procedures. Yet, significantly more institutions performed a broader range of SILS procedures today: SILS appendectomy (n = 2), SILS cholecystectomy (n = 4), SILS thyroidectomy (n = 1), SILS small bowel resection (n = 2), SILS colonic resection (n = 5), and SILS rectal resection (n = 2). The main reasons for not performing routinely SILS were similar to the rationale against NOTES. Conclusion Due to technical limitations and lack of perceptible benefits, NOTES and SILS are less frequently performed nowadays than they were in the past. Only a minority of departments are still performing NOTES and SILS, including cholecystectomies, appendectomies, thyroidectomies, and bowel resections. Whether the rise in use of robotic techniques correlates with the decrease of NOTES and SILS needs further investigation.

Foreign body perforation of the distal ileum: an unusual cause of right iliac fossa pain managed via single incision laparoscopic surgery (SILS) approach

2021 ◽  
Vol 14 (2) ◽  
pp. e238563
Author(s):  
Matthew R Bonomaully ◽  
Zia Haque ◽  
Milind Rao
Keyword(s):  
Foreign Body ◽  
Single Incision ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Distal Ileum ◽  
Emergency Setting ◽  
Single Incision Laparoscopic Surgery ◽  
Single Incision Laparoscopy ◽  
History Of ◽  
Right Iliac Fossa Pain

A 61-year-old woman was seen by the emergency general surgical team with a 2-week history of right iliac fossa pain. Imaging revealed the possibility of a distal ileum perforating foreign body. Using a single incision laparoscopy surgery (SILS) approach, this diagnosis was confirmed at operation. This emerging technique meant a much smaller incision could be used than traditional exploratory laparotomy, with the benefit of less postoperative pain and a faster recovery. This case highlights an uncommon cause for abdominal pain and the importance of close liaison with radiologists and the low threshold for use of laparoscopy as a diagnostic tool. We advocate the use of SILS in the emergency setting for appropriate cases.

Single-incision laparoscopy versus standard laparoscopy for colorectal surgery: A systematic review and meta-analysis

2017 ◽  
Vol 214 (1) ◽  
pp. 127-140 ◽  
Author(s):  
Carlos Hoyuela ◽  
Montserrat Juvany ◽  
Fernando Carvajal
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Single Incision ◽  
Meta Analysis ◽  
Single Incision Laparoscopy ◽  
Standard Laparoscopy

scholarly journals Consensus Statement on Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Laparoscopic Surgery: Heralding a New Era in Urology?

2008 ◽  
Vol 53 (6) ◽  
pp. 1117-1120 ◽  
Author(s):  
Matthew T. Gettman ◽  
Geoffrey Box ◽  
Timothy Averch ◽  
Jeffrey A. Cadeddu ◽  
Edward Cherullo ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Consensus Statement ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
New Era

Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery

2008 ◽  
Vol 101 (12) ◽  
pp. 1493-1496 ◽  
Author(s):  
Jay D. Raman ◽  
Jeffrey A. Cadeddu ◽  
Pradeep Rao ◽  
Abhay Rane
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice

Single-Incision Laparoscopy Could Be Better than Standard Laparoscopy in Right Colectomy for Cancer

2016 ◽  
Vol 26 (5) ◽  
pp. 371-378 ◽  
Author(s):  
Elie Chouillard ◽  
Salman Alsabah ◽  
Ronald Daher ◽  
Antoine Younan ◽  
Vincenzo James Greco ◽  
...  
Keyword(s):  
Single Incision ◽  
Right Colectomy ◽  
Single Incision Laparoscopy ◽  
Standard Laparoscopy ◽  
Better Than
Sign in / Sign up

Export Citation Format

Share Document