Minimally Invasive Surgery

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This animated video explains laparoscopic minimally invasive colorectal surgery:

Single incision laparoscopic Surgery (SILS)

Also, known as “scarless surgery”, SILS is the one of more recent breakthroughs in the arena of minimally invasive colon surgery. The SILS technique is very beneficial for qualified candidates. Instead of one large open incision or multiple smaller ones, this technique involves one single, small incision, which is often “hidden” in the navel. A Single Port device is placed though this tiny incision and allows a high definition camera and all of the laparoscopic instruments to be paced in this one incision. All of the steps of the procedure are successfully performed without any other incisions or ports.

The most obvious benefit is the lack of a large and painful scar versus the traditional open colon surgery in which a 12 to 16 inch incision is made across the abdomen. Since the entire colon surgery is performed through a single small scar, patients recover with much less pain and take much less opioid pain killers.  Patients also have lower risk of wound infections and hernias when compared to open surgery.  The post-operative recovery time is noticeably shorter, making the return to normal life much quicker. Only a few specialists in the world offer this technique to their patients routinely for the treatment of colon diseases. We have performed hundreds of SILS and are one the leading centers of excellence for this procedure.

What to ask your surgeon about surgery

We offer minimally invasive colorectal surgery to over 95% of our patients.  We will review your case thoroughly and determine the very vest approach for you.  Sometimes single port is the best technique and other times we would prefer robotic approach.  During your consultation we will discuss why we would suggest one approach over another in your care plan.  We are almost always able to complete your surgery safely and effectively with a minimally invasive approach regardless of the complex nature of your presentation.

Very few surgeons offer this advanced minimally invasive technique to their patents.  We have been performing SILS since 2008 and have now completed hundred of successful cases.  We are involved in training many of our colleagues and have published books and articles about this specific technique.  It is very important to ask your surgeon if they are performing SILS and what experience they have.

During our consultation we will discuss the possible risks with you depending on  the type of surgery you are having and your medical history.  It has been shown that performing minimally invasive surgery significantly lowers the risk of complications following surgery including lower risk of blood loss and lower infection rate.

This depends on the expertise of your surgeon.  Nationwide, the conversion rate has been reported as high as 20% (that is, the surgeon begins the procedure laparoscopically, but then has to convert to an open incision across the belly in 1 in 5 patients). The good news is that our expert surgeons have a conversion rate of 1% (that is, only 1 patient out of every 100 requires conversion to an open procedure).

Many of our patients who come to us for surgery are very concerned that they will need a colostomy or ileostomy bag (also known as an ostomy or stoma).  It is very rare that we need to perform permanent colostomy bags. In fact, we are well known for putting colostomy bags back together in patients who have received them form other hospitals following emergency procedures.