sils - world laparoscopy hospital€¦ · at department of pediatric surgery, dokuz eylul medical...
TRANSCRIPT
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SILS Single Incision Laparoscopic Surgery
World Laparoscopy Hospital
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HISTORY
SILS was first performed for the treatment of appendicitis
at Department of Pediatric Surgery, Dokuz Eylul Medical
School, Izmir, Turkey and first presented at—The Annual
Congress of Turkish Association of Paediatric Surgeons,
October 2005.
World Laparoscopy Hospital
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SYNONYM
SPL: Single Port Laparoscopy
SPA: Single Port Access Surgery
SILS: Single-Incision Laparoscopic Surgery
LESS: Laparoendoscopic Single-Site Surgery
OPUS: One Port Umbilical Surgery
NOTES: Natural Orifice Translumenal Endoscopic Surgery
World Laparoscopy Hospital
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E QUIPME NT FOR SILS
SILS device from
:Covidien
Gel Point system from
:Applied Medical
R-Port and TriPort from
:Advanced Surgical Concepts
Uni-X from
:Pnavel
World Laparoscopy Hospital
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INSTRUMENT FOR SCARLESS
SURGERY
World Laparoscopy Hospital
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SILS
World Laparoscopy Hospital
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ALTERNATIVE OF SILS PORT
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ALTERNATIVE PORT
World Laparoscopy Hospital
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SILS PORT
World Laparoscopy Hospital
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SILS SET-UP
World Laparoscopy Hospital
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LESS HYSTERECTOMY SET-UP
Laparoscope Placement
World Laparoscopy Hospital
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LESS HYSTERECTOMY SET-UP
Laparoscope Placement
World Laparoscopy Hospital
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SILS ACCESS
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HYSTERECTOMY
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SUTURING IN SILS
World Laparoscopy Hospital
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SILS CLOSURE
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SCAR OF SILS
World Laparoscopy Hospital
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SCAR OF SILS
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SILS VS OPEN VS LAP VS
VAGINAL HYSTERECTOMY
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ADVANTAGE OF SILS
Cosmesis +++
Ease of Tissue Retrieval ++++
Combination Procedure +++
Patient Acceptance ++++
Quality of life analysis ++
Standard Equipment ++
Do not violate natural orifices ++++
Surgeon’s Domain +++
World Laparoscopy Hospital
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DISADVANTAGE OF SILS
Pain ??
Violating Principles of Ergonomics ????
Hernia ??
Wound Infection ???
Learning Curve ??
Cost effectiveness ???
World Laparoscopy Hospital
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WHERE ARE WE GOING
NEXT
S I L S
o r
N O T E S
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