OUR EXPERIENCE WITH SINGLE-INCISION LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 19
Abstract
BACKGROUND As we progressed from operations involving multiple ports to single access through umbilicus, there is empirical evidence that postoperative pain can be reduced as a result of single incision, in addition to accomplishing the laparoscopic procedure effectively and safely. This study was conducted to evaluate safety, efficacy and postoperative morbidity with this method. MATERIALS AND METHODS This case series was conducted on forty patients suffering from cholelithiasis, who met the inclusion criteria were selected for single port laparoscopic cholecystectomy (SPLC) over a period of one year. SPLC was performed using X-cone device in twenty patients and multiport through a single periumbilical incision in twenty patients. RESULTS The perception of pain was very less in immediate postoperative period and no patient required analgesics beyond one week. Early ambulation and early return to normal activity was observed. CONCLUSION SPLC is going to develop a platform of its own or lead us down the path we have not yet realised and will certainly become apparent over the next decade. It has become patient-demanding procedure, because of excellent cosmetics and satisfaction with body image with decreased postoperative pain, early ambulation and return to day-to-day activity. Whichever direction we go in, the driving force needs to be patient’s safety and patient care about which we have concluded in our study
Authors and Affiliations
Bhupinder Singh Pathania, Ab Wahid Raina
Keywords
Related Articles
- EP ID EP418219
- DOI 10.14260/jemds/2018/532
- Views 101
- Downloads 0
A CLINICAL STUDY OF GERIATRIC DERMATOSES
BACKGROUND Geriatric population is increasing worldwide. Hence, a proper understanding of geriatric skin disorders is important for a dermatologist. Though there are a large number of studies on the pattern of geriatric...
CYTOHISTOPATHOLOGICAL CORRELATION OF NEOPLASTIC AND NON-NEOPLASTIC LESIONS OF LYMPH NODE- A DIAGNOSTIC TEST VALIDATION STUDY
BACKGROUND Fine needle aspiration cytology is a simple and cost effective technique that is routinely used in patients presenting with persistent lymphadenopathy. FNAC is a first line investigation modality for evaluatio...
EVALUATION OF PREOPERATIVE DIAGNOSTIC ACCURACY OF MODIFIED ALVARADO SCORING SYSTEM IN ACUTE APPENDICITIS
BACKGROUND The Modified Alvarado Scoring System (MASS) has been shown to be easy, simple and cheap diagnostic tool for supporting the diagnosis of acute appendicitis. However, its application and usefulness has not been...
RENAL BIOPSY ANALYSIS OF YOUNG PATIENTS WITH MEDICAL RENAL DISEASE IN A TERTIARY CARE CENTRE HOSPITAL
BACKGROUND Renal diseases are commonly diagnosed and managed as per syndromic approach depending on clinical and laboratory findings. But recent usefulness of USG-guided percutaneous renal biopsy has made it possible to...
AN EXPERIENCE OF FACILITY-BASED MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN CHILDREN AGED BETWEEN 0-59 MONTHS ADOPTING THE WORLD HEALTH ORGANIZATION RECOMMENDATIONS AT NUTRITION REHABILITATION CENTRE, ANANTHAPURAMU
BACKGROUND Severe Acute Malnutrition (SAM) increases significantly the risk of death in children under five years of age. It can be an indirect cause of child death by increasing the case fatality rate in childre...