lunes, 16 de agosto de 2010

Scarless Surgery or Single Incision Surgery

• New Approach in Gallbladder and Appendix Laparoscopic Surgery

Scarless Surgery also known as Single Orifice Surgery or Single Incision Surgery has developed quite rapidly.

In Costa Rica, Dr. Ariel Rivera Aguerri, Surgeon Director of the Center for Laparoscopic Surgery and Chief of General Surgery at the Hospital CIMA, is pioneer in the implementation of the first Single Incision Surgery for gallbladder and appendix in the Costa Rica.

These procedures' hidden scar "require a single skin incision, and is conducted entirely through the umbilicus of the patient, either with a larger trocar or several smaller ones. The goal is to reduce postoperative pain, speed recovery and improve the aesthetic results for patients.

Many scarless surgeries or single incision procedures are now performed entirely through the umbilicus, leaving no visible scar for the patient.

The potential advantages for the patient:
1. Less postoperative pain: lower abdominal pain
2. A faster recovery: less pain and fewer incisions
3. Better cosmetic results: the scar is hidden in the navel
4. Minor complications:
a. Reduce the chance of infection site
b. Reduce the incidence of ventral hernia

Benefits of this procedure via umbilical (procedure known as SIS-single-incision surgery and single port access SPA) vs. Vaginal (procedure known as NOTES, natural orifice where the best known is the vagina)

A. Reduced rate of infection,
B. Inclusion of both male and female patients,
C. No advance preparation is required orifice (vs. requirement in the vaginal procedure),
D. Less formal instruments, etc.

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