Single Incision Laparoscopic Surgery (SILS)

 

Single Incision Laparoscopic Surgery (SILS) can also be used for hysterectomies. It is also commonly referred to as “scarless” surgery. Generally, laparoscopic procedures are performed via two or more incisions. Single incision laparoscopic procedures are performed via a single incision in the umbilicus representing a significant evolution in the field of surgery. Laparoscopic procedures offer better patient outcome compared to open operative procedures, including less pain and faster recovery period and SILS procedures can provide even more of these benefits.

A SILS port is a single, flexible port that is fitted through a small 
incision in the umbilicus which results in single hidden scar hence the terminology “scarless”, a cosmetic advance over the traditional multiple visible abdominal wall scars associated with the standard multi-port laparoscopy. Through this single port the camera and two other operating instruments can be introduced.

Gynaecological operations that have so far being performed using SILS include:

  • Prophylactic removal of both tubes and ovaries in women who have a risk of ovarian cancer or who have oestrogen receptor positive breast cancer
  • Treatment of benign ovarian cysts
  • Diagnostic laparoscopic procedures
  • Laparoscopic sterilisation
  • Hysterectomy
  • Laparoscopic treatment of endometriosis
  • Laparoscopic division of adhesions