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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
FEASIBILITY OF SINGLE INCISION LAPAROSCOPIC SURGERY WITH DOUBLE PORT; EXPERIENCE OF 101 CASES
Author
Ilhan Ece*, Huseyin Yilmaz, Serdar Yormaz, Mustafa Sahin
Email
ilhanece@yahoo.com
keyword
Single incision, Incisional Hernia, Two ports, Laparoscopy.
Abstract
This clinical trial was aimed to present the laparoscopic interventions that were performed for various intra-abdominal organs using two ports through a single incision. The present study consisted of 101 patients who underwent single incision surgery. All of the operations were performed using two ports through a single umbilical incision and suspension-traction suture technique. Cholecystectomies were performed similar to the standard technique and the gallbladder was removed through the umbilicus. Splenectomy was performed on three patients with the assistance of a vascular sealing device. Similarly, appendectomy was performed on 16 patients diagnosed with acute appendicitis. The operative time was 56.4±28.6 minutes, and the blood loss was negligible. The mean age of the patients was 44.4±12.1 years. None of patients required a conventional laparoscopy. Most patients were discharged on the first operative day on oral diet. A bile leakage and a wound infection were noted at short time follow-up. The surgical wound healed in all patients with an inconspicuous scar. The main follow-up time was 16 months, and no hernias developed. In this study, the operation duration and the complication rates were similar to standard laparoscopy, whereas more satisfactory outcomes were obtained with respect to esthetics and achieved a significant cost advantage with a least risk of incisional hernia.
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