Single Port Laparoscopic Surgery Hermina Tangkubanprahu Hospital

Current surgical procedures have become more advanced and modern to help patients reduce trauma, morbidity, mortality and length of hospital stay. One of the surgical methods that is widely used today is laparoscopy.

Laparoscopy is a diagnostic and therapeutic surgical procedure used to view the internal organs of the abdomen and pelvis. Laparoscopy uses a special instrument in the form of a thin tube with a camera and light, this instrument is called a laparoscope. The doctor will insert the tool after making a small incision in the stomach. The images captured by the camera are then displayed on a connected computer monitor so doctors can make a diagnosis and perform surgery if they find a problem.

Based on the purpose of laparoscopy, it can be divided into diagnostic laparoscopy and operative laparoscopy. Doctors can perform one of them in a laparoscopic procedure, or both at the same time. Laparoscopy has several advantages, including a smaller surgical size with less severe post-operative pain, low post-operative wound infection, and short recovery time.

“One of the innovations in the current advances in laparoscopic surgery is Minimal Access Laparoscopic Surgery. One of which is Single Port or Single Incision Laparoscopic Surgery or what we usually call SILS. "The basic idea is that all parts of the laparoscope can enter the abdominal wall through the same incision," said Dr. Dwicha Rahmawansa Siswardana, Sp.B, KBD as a Digestive Surgery Specialist at Hermina Tangkuban Prahu Hospital, Malang.

Traditional laparoscopy requires 3 to 4 incisions to perform surgery. However, SILS only requires a single incision measuring 1.5 cm – 2 cm right in the umbilicus or navel area.

SILS is one of the newest laparoscopic Techniques and is considered to be non-invasive. Provides the benefits of fewer scars, less chance of pain, and a shorter recovery period. In general, the SILS technique takes almost the same time as traditional laparoscopic surgery. However, SILS is more complicated because it manipulates three instrument articulations through one incision access.

So far SILS is a technique that is developing rapidly and has been successfully used by digestive surgeons for operations on the appendix, gallbladder, liver and pancreas. If diagnostically laparoscopic surgery is not possible, ordinary surgery is performed with a larger incision.