Energy System and Endosuturing in Single Incision Laparoscopy Surgery

Abstract

Background: SILS is a newer laparoscopic technique emerging in this era. So this article aims to provide an overview on safer surgical skills by understanding basic principles and proper application of energy source and endosuturing techniques. Materials and methods: Articles of relevant studies are explored from Google, HighWire Press, PubMed, SpringerLink using keywords-single incision laparoscopy surgery (SILS), energy source in SILS, suturing in SILS. Aim: The main aim is to evaluate the best energy source which can be used in SILS with better ergonomics and to define the good suturing technique in single port laparoscopic surgery. Results: Most of the studies show that newer energy devices, such as LigaSure, harmonic and EnSeal, are being used with advantage of less smoke, less operative time, very minimal blood loss, less drop in hemoglobin value postoperatively, and reduced duration of hospital stay. Endosuturing using roticulators, Endostitch is easier, though intracorporeal and extracorporeal knotting can also be perfomed same like conventional laparoscopy. Conclusion: LigaSure, harmonic and EnSeal can be safely used as multifunctional devices in the available space in SILS without changing the instruments frequently as in conventional laparoscopy. Both intracorporeal and extracorporeal knot can be put by practice and with aid of newer suturing devices.