Laparoscopic surgery, with its indisputable advantages, in just a few decades displaced open surgery, becoming the gold standard in all surgical conditions. The constant search for new, even less invasive methods, has led to laparoscopic surgery of one incision (SILS). SILS (Single Incision Laparoscopic Surgery) in turn replaces the classic technique and even at a very fast pace.
As a technique, it is governed by the exact same principles and surgical times of conventional laparoscopy, and therefore can be applied equally to all General Surgical diseases. The important difference is that the tools are inserted and manipulated in the patient by a single incision in the navel, 1.5-2 cm in size, replacing the multiple holes of the classic technique. Therefore, the intraoperative and postoperative benefits offered by laparoscopy to the patient are dramatically increased.
With a single incision, the patient feels zero pain, mobilizes and is fed immediately, and recovery time is minimized. In addition, the scars and scars of large incisions or multiple holes are replaced by a small umbilical cord injury, which due to location makes it difficult to even recognize. It offers, in addition to purely surgical, aesthetic benefits equally important.
All of the above would not be possible without the help of technology. The design and construction of special articulated or excavated tools solved the space and conflict problems that arose from the use of conventional equipment from one hole. Today, in fact, many alternatives are available with separate parameters each.
Modern SILS equipment also requires special training from the surgeon. The use of burnt or articulated cross-tools is extremely demanding, to the point that without training the simple laparoscope cannot complete even the simplest surgery. So SILS can only be successfully applied by technicians who are specialized in surgery.
In conclusion, SILS is the next most modern step in surgery, it can only be applied by specialized surgeons, it maintains and magnifies the benefits of conventional laparoscopic by adding weight to the aesthetic part of the surgery. This is the technique that comes closest to the meaning of Minimally Invasive Surgery.