A study of single sight two port laparoscopic appendectomy for its feasibility, advantages and disadvantages

Authors

  • Dinesh Prasad Department of General Surgery, SMIMER, Surat, Gujarat, India
  • Rajesh Chandanani Department of General Surgery, SMIMER, Surat, Gujarat, India
  • Kesha Shah Department of General Surgery, SMIMER, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203259

Keywords:

SSTPLA, Single incision laparoscopic appendectomy, Open appendectomy, Laparoscopic appendectomy

Abstract

Minimally invasive techniques revolutionized surgery with severe reduction of access trauma, prompt mobilization, lessened hospital stays and better cosmesis.1 Laparoscopic appendectomy can be further categorized into three port and reduced port appendectomy. All the selected cases have been put in a tabulated form on the basis of their age, clinical features and signs, ultrasonography findings, intra op complications, duration of surgery, duration of post op pain, early post op complications, cosmetic outcome and trochar size. 20 patients fulfilling inclusion and exclusion criteria, who were admitted in our hospital (SMIMER Surat) from 1st December, 2019 to 1st April 2020 and were included in the study and underwent single sight two port laparoscopic appendectomy (SSTPLA) after their consent. We have covered the entire procedure of single sight two port appendectomy, its technique, feasibility, advantages, and disadvantages. From our study, we conclude that this new technique of SSTPLA is technically safe and feasible. Our experience of this innovative surgical technique is suggestive of the fact that SSTPLA has better patient satisfaction with respect to cosmesis, decreased post-operative pain, decreased hospital stay, decreased operative time, fewer intra operative and post-operative complications and surgeon satisfaction with respect to ergonomics and decreased chances of collision of laparoscope with only single working instrument.

Author Biographies

Dinesh Prasad, Department of General Surgery, SMIMER, Surat, Gujarat, India

Additional Professor, Department of General Surgery

Rajesh Chandanani, Department of General Surgery, SMIMER, Surat, Gujarat, India

Assistant Professor, Department of General Surgery

Kesha Shah, Department of General Surgery, SMIMER, Surat, Gujarat, India

Resident Doctor, Department of General Surgery

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Published

2020-07-23

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Case Series