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Published in: Obesity Surgery 2/2018

01-02-2018 | How I Do It

Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery

Authors: P. Praveen Raj, Siddhartha Bhattacharya, R. Parthasarathi, P. Senthilnathan, S. Rajapandian, S. Saravana Kumar, C. Palanivelu

Published in: Obesity Surgery | Issue 2/2018

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Abstract

Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. We have developed and standardised the SILS approach at our institute. We share our experience and technical “tips” and modifications which we have learnt over the years. Technical details of performing sleeve gastrectomy and Roux-en-Y gastric bypass with special attention to liver retraction, techniques of dissection in difficult areas, creation of anastomoses and suturing have all been described. In our experience and in experience of others, single-incision bariatric surgery is feasible. Use of conventional laparoscopic instruments makes single-incision approach practical for day-to-day practice. Supervised training is essential to learn these techniques.
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Metadata
Title
Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery
Authors
P. Praveen Raj
Siddhartha Bhattacharya
R. Parthasarathi
P. Senthilnathan
S. Rajapandian
S. Saravana Kumar
C. Palanivelu
Publication date
01-02-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-3036-4

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