Single Incision Laparoscopic Appendectomy Using Only One Trocar with a Novel Solution for Laparosocope Defogging

Jonathan D Svahn, MD FACS, Matthew R Dixon, MD. Kaiser Permanente East Bay

Laparoscopic appendectomy has become the standard of care in many hospitals.
LA affords the patient the well known benefits of minimally invasive surgery namely
better cosmetic results, less pain and quicker recovery. (1) Single incision surgery is increasingly reported and has been described as a feasible technique for numerous procedures including colectomy, Nissen fundoplication, cholecystectomy, splenectomy, hysterectomy, and appendectomy. Single incision
laparoscopic appendectomy was first described in 1992 (2) Multiple SILS appendectomy techniques have been described.(3,4) There are numerous devices that can be used to maintain pneumoperitoneum while providing an access point for trocars and/or instruments. These tend to be costly. We have developed
a less exspensive system that requires only one 12mm trocar, a small wound protector, and a latex free glove.
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