Kochi: An innovative single incision laparoscopic gastrectomy procedure was successfully carried out at Aster Medcity recently. While laparoscopic gastrectomy is usually carried out through four to five, this single incision laparoscopic sleeve gastrectomy was a successful demonstration of the latest surgical technique using advanced medical technology that is now available at Aster Medcity. The patient was a 28 year old female who had a BMI of 51.9 which is much more than her expected body weight . A BMI of 25 is considered healthy for her.
For many years, traditional abdominal surgeries were performed using large incisions to access the abdominal or pelvic cavities. The problems with this method included postoperative pain, wound infection, incisional hernia, For many years, traditional abdominal surgeries were performed using large incisions to access the abdominal or pelvic and prolonged hospitalization. It was then that laparoscopy, which was first used in gynaecological surgery began to be used for general surgeries beginning with a laparoscopic cholecystectomy (removal of gall bladder) more than two decades ago. The smaller incisions led to a marked decrease in incision-related complications. In laparoscopic surgeries, the single incision laparoscopy is the most recent innovation and development to take place using special angled instruments.
Dr Prakash K., Lead Senior Consultant, GI & HPB Surgery at Aster Medcity said, “The ideal surgery is one which leaves no scars, causes minimal pain and allows the patient to make a fast recovery. While conventional laparoscopy requires the surgeon to make multiple incisions for the various instruments, this new evolving innovation in the field of laparoscopic surgery allows the entire surgery to be carried out through a small 2.5 cm incision located in the umbilical fold. All surgical instruments are placed through this small incision. Since the scar is in the umbilicus, it is not visible once it is healed giving an excellent cosmetic result. Other than gastric sleeve resections for obese patients, the single incision laparoscopic surgery (SILS) can also be used very effectively for gall bladder surgery and surgery for hernias and colon cancer.”
The invisible scar, less pain, quick recovery and early discharge was a pleasant surprise for the patient who recovered well and was discharged on the fourth day itself! The idea of scarless surgery like SILS is gaining increasing popularity among patients with patients now asking for such a procedure. The SILS procedure is quite appealing for youngsters, particularity young females due to the absence of post-operative scarring. Aster Medcity is the only hospital in Kerala to offer single incision laparoscopic surgery or SILS to the patients who need to undergo abdominal surgery.