| APPENDIX |
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| Year : 2011 | Volume
: 7
| Issue : 1 | Page : 28-32 |
Single-incision multi-port laparoscopic appendectomy: How I do it
Parveen Bhatia1, Vinay Sabharwal2, Sudhir Kalhan3, Suviraj John3, Jagpreet S Deed4, Mukund Khetan3
1 Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital and Bhatia Global Hospital & Endosurgery Institute, New Delhi, India
2 Department of Surgery, Jeewan Mala Hospital, New Delhi, India
3 Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India
4 Department of Surgery, Jeewan Mala Hospital and Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi, India
Correspondence Address:
Parveen Bhatia
Room No. 400, 4th Floor, SW Block, Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.72372
Introduction : Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy. Methods: We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique. Results: The operative time was 63 ± 20 min, blood loss 6.5 ± 5 mL, bowel movement (passing stool) occurred in 2.6 ± 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar. Conclusion: Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.
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