Abstract

Single-incision laparoscopic appendectomy is an innovative laparoscopic technique which aims to reduce the number of traditional multiple port entries. However, this is a technically challenging surgery which requires perfect ergonomics, an experienced surgeon and a good technique.  A study of single incision laparoscopic appendectomy was conducted with conventional laparoscopic instruments with respect to outcome parameters. .This was a prospective study carried out at tertiary care teaching institute from June 2010 to nov 2012. In this study, 30 patients of appendicitis were treated by Single Incision laparoscopic Appendectomy.  Mean operative time required for first 15 cases on an average was 121.78 min.  However, it was reduced for next 15 cases to 73.73 min. Mean age of patients undergoing Single Incision Laparoscopic Appendectomy was 26.2 years. Out of 30 cases, 16 cases were completed by using Single incision with 3 ports. In 6 cases a prolene loop was inserted with the help of epidural needle in right iliac fossa to suspend the appendix. In one case a 2 mm alligator grasper was used through suprapubic region to suspend the appendix. In 6 cases an additional 5mm/3mm port was used during the procedure. In One case Single incision Laparoscopic appendectomy was converted to open appendectomy due to non visualization of appendix. The mean average of hospital stay was 2.83 days. Mean follow-up period was 8 months. Average pain score was 4.33.

We conclude that it is feasible and safe to use conventional instruments for a SILS procedure for appendectomy.

Keywords: Appendectomy. Single-Incision Laparoscopic Surgery (SILS). Ergonomics. Multiport Appendectomy.