Single Incision Laparoscopic Appendicectomy (SILA) using Conventional Instruments vs Classical Laparoscopic Appendicectomy (CLA)

Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2

Abstract

Introduction: Laparoscopic appendicectomy is a widely accepted minimally invasive procedure due to its advantages like reduced postop pain, shorter hospital stay, quicker recovery and improved cosmesis. In laparoscopic appendectomy, three ports are required for the placement of trocars. Single incision laparoscopic appendicectomy(SILA) has more advantages of being further minimally invasive in form of further reduction in ports, post operative pain, improved cosmesis and is being accepted as a technically viable option for removal of the appendix. Material and methods: The study was conducted over a period of 3 years from April 2012 to April 2015 at the department of General Surgery in two tertiary care service hospitals. We performed appendicectomy in fifty patients by classic three port and single incision laparoscopic approach technique successfully. SILA was performed by the single experienced laparoscopic surgeon. 50 patients were randomized into two groups. Group I underwent SILA and Group II three port appendicectomy. The patients were followed up till Dec 2016 thus the period of followup ranged from 8 months to 24 months. Results: There was significant difference with mean operative time for SILA being longer (mean 49.32±11.75 minutes) ranging from a maximum of 70 minutes to a minimum of 30 minutes. Whereas for three port laparoscopic appendicectomy mean time was 25.64±6.28 minutes ranging from a maximum of 35 minutes to 15 minutes minimum. It is seen that there was a significant difference between the pain suffered after first 6 hours of operation but no difference was associated in pain after 12 hours and 24 hours. Fifteen patients were discharged on the first postoperative day on semisolid diet. Analgesic use and visual pain score was less than multiport laparoscopic appendectomy. One patient developed stitch abscess which required drainage through port scar. Surgical wound healed well in all patients with inconspicuous umbilical scar. Conclusion: SILA is technically feasible and safe in the hands of experienced minimally invasive surgeons. It is a new technique developed for performing appendicectomy with invisible scar and is becoming popular amongst surgeons and patients.

Authors and Affiliations

Subhash Chawla, AK Gupta, Lipika Chawla, Himani Chawla

Keywords

Related Articles

Chlamydial Antigen in Infertile Women

Introduction: Chlamydia trachomatis is a widely recognized sexually transmitted pathogen which is asymptomatic initially but can lead to long term complications like infertility. The present study was undertaken to study...

Clinico-Pathological Profile of Lung Cancer at K.R Hospital, Mysore (Tertiary Health Care Centre)

Introduction: Lung cancer is one of the commonest and most lethal cancers throughout the world. The epidemiological and pathological profile varies among different ethnicities and geographical regions. At present Adenoca...

Anesthesia Awareness “AWAKE” during Orthognathic Surgery: a Case Study and Review

Introduction: The term “anesthesia awareness” (AA) signifies the specific surgical period of time when an individual, in spite of being under intended general anesthesia, remains aware of the sensory stimuli and the memo...

Comparative Evaluation of Lipid Profile among Pregnant Women with and without Pregnancy Induced Hypertension Attending in Patliputra Medical College Dhanbad, Jharkhand

Introduction: The association of alteration of serum lipid profile in hypertension has been well established. In pregnancy, normally, the altered levels of serum lipid profile increase the risk of Pregnancy-induced hyper...

Prognostication Studies of Prostate Cancer in Black Africa: Findings from Calabar, South-South, Nigeria

Introduction: Prostate cancer is the commonest cancer in males in Nigeria, a country with the largest concentration of indigenous black patients worldwide. The disease has variable clinical behavior but is noted to have...

Download PDF file
  • EP ID EP425030
  • DOI -
  • Views 133
  • Downloads 0

How To Cite

Subhash Chawla, AK Gupta, Lipika Chawla, Himani Chawla (2017). Single Incision Laparoscopic Appendicectomy (SILA) using Conventional Instruments vs Classical Laparoscopic Appendicectomy (CLA). International Journal of Contemporary Medical Research, 4(2), 341-345. https://europub.co.uk/articles/-A-425030