http://www.youtube.com/watch?v=9WAQp1RRq5cendofvid
[starttext]
Introduction: Single incision laparoscopic surgery (SILS) is an advancement in current laparoscopic techniques. It involves placement of 2 or more ports through the same small incision. The procedures are then carried out in a fashion similar to their multi-port counterparts. This new approach is being utilized for many different procedures. Here, we present a video of a single incision laparoscopic incisional hernia repair.
Methods: The patient is a 61-year-old male who underwent an uneventful laparoscopic hand-assisted right hemicolectomy for a sessile polyp. He developed a postoperative wound infection and eventually an incisional hernia at the location of the hand port site. He was counseled on repairing his hernia with a SILS approach and was agreeable. Standard instrumentation was used to perform a single incision laparoscopic incisional hernia repair.
Results: The patient tolerated the procedure well. He was discharged home on postoperative day one and has had an uneventful recovery with no recurrence or complication to date.
Conclusions: SILS is a technique with multiple applications. Definite benefits at this point are cosmetic. The outcomes for large numbers of patients will need to be evaluated to determine any other benefits or pitfalls associated with these procedures. This demonstration is intended to aid other surgeons in applying and refining the techniques shown.[endtext]
[starttext]
Introduction: Single incision laparoscopic surgery (SILS) is an advancement in current laparoscopic techniques. It involves placement of 2 or more ports through the same small incision. The procedures are then carried out in a fashion similar to their multi-port counterparts. This new approach is being utilized for many different procedures. Here, we present a video of a single incision laparoscopic incisional hernia repair.
Methods: The patient is a 61-year-old male who underwent an uneventful laparoscopic hand-assisted right hemicolectomy for a sessile polyp. He developed a postoperative wound infection and eventually an incisional hernia at the location of the hand port site. He was counseled on repairing his hernia with a SILS approach and was agreeable. Standard instrumentation was used to perform a single incision laparoscopic incisional hernia repair.
Results: The patient tolerated the procedure well. He was discharged home on postoperative day one and has had an uneventful recovery with no recurrence or complication to date.
Conclusions: SILS is a technique with multiple applications. Definite benefits at this point are cosmetic. The outcomes for large numbers of patients will need to be evaluated to determine any other benefits or pitfalls associated with these procedures. This demonstration is intended to aid other surgeons in applying and refining the techniques shown.[endtext]
