SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases

Uday, SK; Bhargav, Panchangam Ramakanth

doi:10.4103/0972-9941.110967

Cited by 8 publications

(10 citation statements)

References 19 publications

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“…Finally, 17 research articles or case series on SPLA, from the Republic of Korea, China, India, Spain, and other countries, were included in the present review. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Most articles were from the Republic of Korea (n ¼ 6), followed by China (n ¼ 4), India (n ¼ 3), Vietnam (n ¼ 1), Argentina (n ¼ 1), Egypt (n ¼ 1), and Spain (n ¼ 1). There were eight retrospective studies, six prospective studies, and three case series (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Surgical techniques, equipment, and devices, including magnet-assisted single trocar (MAST), needle grasper (Endo Relief)-assisted single-incision laparoscopic appendectomy (NASILA), and SPLA using a needle-type grasping forceps (SLAN) are summarized (Table 1). [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] The performance of each technique was also compared in terms of clinical outcomes (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…The use of traditional three-port laparoscopic trocars and operating instruments to complete a single-port laparoscopic surgery has also been reported in India, Korea, and China. [23][24][25]33 Compared with the traditional three-port laparoscopic surgery, this new technique does not increase hospitalization costs and therefore is more affordable. Among these techniques, the protocol designed by Que Son et al 17 had the shortest mean operating time (37.5 min), which may be explained by the following: the use of an ALEXIS XS Wound retractor (Applied Medical) combined with surgical-glove port effectively maintains stable pneumoperitoneal pressure and the use of a percutaneous organholding device (Suture Grasper Closure Device; Mediflex Surgical Products) effectively improves the parallel operating angles of traditional single-port laparoscopic surgery, ensuring a smooth surgical operation.…”

Section: Current Techniques Review and Comparison Of Technical Progra...mentioning

confidence: 99%

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A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

et al. 2023

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Single-port laparoscopic appendectomy (SPLA) has become a good alternative to the traditional surgical treatment of acute appendicitis, due to its advantages of small incision, mild postoperative pain, short hospital stay, and good cosmetic effect. However, the further application of SPLA has been restricted by its relatively long operating time, high level of operating difficulty, and increased equipment and technical requirements. Clinical teams worldwide have attempted to improve and optimize SPLA technical protocols and equipment to maintain stable intraoperative pneumoperitoneal pressure, improve the ‘triangle relationship’ of operating angles, and develop new surgical procedures with less trauma and higher cost-effectiveness. Here, new SPLA techniques reported over the past decade are reviewed and compared, with the aim of providing new insights into technical improvements, equipment upgrades and clinical studies in the coming years.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Current Techniques Review and Comparison Of Technical Progra...mentioning

confidence: 99%

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A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

et al. 2023

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“…[ 18 ] These results are similar to certain published studies. [ 18 19 20 ] There is no increase in the conversion rates or post-operative complications with the usage of conventional laparoscopic instruments for SILS, rather it would considerably reduce the cost and could ensure the development of SILS as a standard of care even in resource poor settings.…”

Section: Discussionmentioning

confidence: 99%

Single incision multiport versus conventional laparoscopic inguinal hernia repair: A matched comparison

et al. 2018

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Background:The popularity of single-incision procedures is on the rise as wound cosmesis is increasingly being seen as an important body image-related outcome. In this study, we assess the potential benefits of single-incision multiport laparoscopic totally extra-peritoneal (S-TEP) without using specialised ports or instruments and compare the same with the conventional laparoscopic TEP (C-TEP) surgery in terms of operative time, post-operative pain, complications, cost and cosmesis.Materials and Methods:This is a prospective case-matched study of the patients undergoing S-TEP versus C-TEP from June 2014 to December 2015.Results:Each group had 36 patients. The two groups were comparable in the clinical characteristics. The mean duration of surgery for a unilateral hernia in C-TEP and S-TEP was 45.13 ± 10.58 min and 72.63 ± 15.23 min, respectively. The mean visual analogue scale (VAS) score for pain was significantly higher in S-TEP group at post-operative day (POD) 0 and 1. However, at POD 7, there was no significant difference between the groups. At 1st and 6-week post-surgery, the cosmetic results were significantly better in S-TEP group as compared to C-TEP, however, at 6 months, the scar was highly acceptable in both treatment groups.Conclusion:S-TEP, using conventional laparoscopic instruments, is safe and feasible even in resource challenged setting. However, there is a need to review the indications and advantages of single-incision laparoscopic surgery, as no difference in cosmetic outcome by VAS score in S-TEP versus conventional laparoscopic arm seen by the end of 1 month.

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“…The skin was sutured with 2-0 Ethilon (Ethicon Inc., Somerville, New Jersey) (Figure 1E ). The details of the preparation of the glove-port and the entire procedure are already published [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

A Comparative Study Between Single-Incision Laparoscopic Appendicectomy Using Conventional Instruments and Glove-Port (SILACIG) and Conventional Multiport Laparoscopic Appendicectomy (CMLA)

Muneef

Kumbhar

Vijayakumar

et al. 2020

Cureus

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Introduction Appendicectomy is the most common surgical procedure. Conventional laparoscopic appendicectomy being time-tested, attempts were made to make it less invasive. Single-incision laparoscopic appendicectomy is the most recent trend. The present study is conducted with the aim to compare surgical outcomes between single-incision laparoscopic appendicectomy using conventional instruments and glove-port (SILACIG) with conventional multiport laparoscopic appendicectomy (CMLA). Materials and methods A total of 80 patients with appendicitis were recruited and underwent SILACIG (n=40) and CMLA (n=40). They were monitored for operative time, time of oral intake, pain on the second postoperative day, day of discharge, return to work, and scar size after two months. Results There was no significant difference between SILACIG and CMLA in terms of the time of oral intake, day of discharge, and return to work. Operative time was significantly more in the SILACIG group as compared to CMLA. Pain on the second postoperative day was less than CMLA, and the size of the operative scar was significantly smaller than 2 cm in the SILACIG group as compared to the CMLA group. Conclusion SILACIG is a feasible, safe, and cost-effective technique. It is comparable with CMLA in terms of preoperative diagnosis, postoperative oral intake, hospitalization period, and return to work. It shows less pain on the second postoperative day and cosmetic benefit but requires more operative time than CMLA.

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SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases

Cited by 8 publications

References 19 publications

A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

A brief overview of single-port laparoscopic appendectomy as an optimal surgical procedure for patients with acute appendicitis: still a long way to go

Single incision multiport versus conventional laparoscopic inguinal hernia repair: A matched comparison

A Comparative Study Between Single-Incision Laparoscopic Appendicectomy Using Conventional Instruments and Glove-Port (SILACIG) and Conventional Multiport Laparoscopic Appendicectomy (CMLA)

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