Muhammad Saad Faisal, Sidra Dil Muhammad, Ahsen Nazir Ahmed, Muhammad Adnan Khan, Zille Maryum, Kausar Abbas.
Single incision laparoscopic appendectomy (SILA) by conventional laparoscopic instruments; an initial single surgeon experience of 30 cases of uncomplicated acute appendicitis at Sharif Medical City hospital, Lahore.
J Sharif Med Dent Coll Jan ;1(1):27-30.

Objective: To describe our initial experience of simplified and low cost SILA technique carried out with conventional laparoscopic instruments. Methodology: This prospective study was conducted from December 2014 to May 2015 at Sharif Medical City Hospital, Lahore. We accomplished SILA among 30 cases for uncomplicated acute appendicitis using conventional non reticulating laparoscopic instruments, 0 telescope, two 10 mm ports and a directly introduced non reticulating curved grasper through the same skin incision without the use of any port that served to hold the appendix. The appendicular artery was secured with liga clips without use of ultrasonic shear. The ligation of appendix was performed by Vicryl no.1/0. No special technique was used to retrieve appendix specimen. Results: SILA were completed in all patients successfully without the need of additional port in the same or through separate skin incision or conversion to an open approach. The mean operative time was 22.65+1.04 minutes. All patients were discharged within two days. No significant intraoperative or postoperative complications were noted over a period of two months follow up. Wound healed in all patients with an invisible scar. Conclusion: The single incision laparoscopic appendectomy technique by using conventional non reticulating laparoscopic instruments in this study is cost effective. It is safe for treatment of patients with uncomplicated acute appendicitis. Thus, it can be performed in a hospital equipped with basic laparoscopic surgical instruments. Key word: Single incision laparoscopic appendectomy. O telescope. Conventional.

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