SILS – Single Incision Laparoscopic Surgery

SILS – Single Incision Laparoscopic Surgery

At the forefront of advanced surgical techniques

Dr Haider Najjar is considered one of Australia’s leading specialists in the medical and surgical management of endometriosis, uterine fibroids, heavy menstrual bleeding and prolapse. Introduced into his practice more than 4 years ago, Dr Najjar uses single incision (keyhole) technique for surgical cases.

This means he performs a laparoscopy or hysterectomy using single incision through the umbilicus, whereas traditional laparoscopy has at least two incisions in the stomach. Laparoscopy surgery is used to diagnose and treat endometriosis, infertility and other gynaecological problems such as abnormally heavy menstruation and fibroids.

Compared with open surgery (laparotomy), single incision laparoscopy benefits include:

  • More cosmetically aesthetic with smaller (or no) scars
  • Less pain
  • Faster recovery so you can resume normal activities sooner
  • Shorter hospital stay
  • Less post-operative adhesions
  • Less risk of infection

If you do not have private health insurance and wish to be treated at a public hospital, Dr Najjar can place you on the Southern Health Waiting List.


Robotics – da Vinci Surgical System

With the da Vinci Surgical System, surgeons operate through just a few small incisions. The da Vinci System features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.

Minimally invasive da Vinci uses the latest in surgical and robotics technologies. da Vinci is beneficial for performing routine and complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinciis changing the experience of surgery for people around the world. View the patient brochure.


Robotics and Hysterectomy

One of the most important steps you can take before your hysterectomy is to educate yourself on the different types of surgeries available. Today, there are more options for how your uterus is removed than ever before.

Know Your Hysterectomy Options

If your doctor recommends a hysterectomy, the most common surgical options are: traditional laparoscopy, da Vinci Surgery and open surgery. ??Using da Vinci Single-Site* Surgery for benign (non-cancerous) conditions, your doctor can perform a hysterectomy through a small incision in your belly button. Patients experience virtually scarless results, similar to single incision traditional laparoscopy. ?Early clinical data suggests da Vinci Single-Site Hysterectomy offers the following potential benefits:

  • Low blood loss1,2,3,4
  • Low rate of complications1,2
  • Low chance of a blood transfusion2
  • Low chance of surgeon switching to open surgery2,3,4
  • Short hospital stay2,3
  • Low level of post-operative pain4

The da Vinci System has brought minimally invasive surgery to more than 2.5 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.

Learn more about the da Vinci Surgical System.

* Single-Site technology is only available for benign (non-cancerous) conditions.

Risks & Considerations Related to Hysterectomy, Benign (removal of the uterus and possibly nearby organs),: injury to the ureters (ureters drain urine from the kidney into the bladder), vaginal cuff problems (scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut. Uterine tissue may contain unsuspected cancer. The cutting or morcellation of uterine tissue during surgery may spread cancer, and decrease the long-term survival of patients.


Cela V, Freschi L, Simi G, Ruggiero M, Tana R, Pluchino N. “Robotic single-site hysterectomy: feasibility, learning curve and surgical outcome.” Surg Endosc. 2013 Jul;27(7):2638-43. doi: 10.1007/s00464-012-2780-8. Epub 2013 Feb 8.

Akdemir A, Zeybek B, Ozgurel B, Oztekin MK, Sendag F. “Learning curve analysis of intracorporeal cuff suturing during robotic single-site total hysterectomy.” J Minim Invasive Gynecol. 2015 Mar-Apr;22(3):384-9. doi: 10.1016/j.jmig.2014.06.006. Epub 2014 Jun 19.

Scheib SA, Fader AN. “Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique.” Am J Obstet Gynecol. 2015 Feb;212(2):179.e1-8. doi: 10.1016/j.ajog.2014.07.057. Epub 2014 Aug 1.

Bogliolo S, Mereu L, Cassani C, Gardella B, Zanellini F, Dominoni M, Babilonti L, Delpezzo C, Tateo S, Spinillo A. “Robotic single-site hysterectomy: two institutions’ preliminary experience.” Int J Med Robot. 2014 Sep 18. doi: 10.1002/rcs.1613. [Epub ahead of print]


IMPORTANT SAFETY INFORMATION

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.

WHEN IS SINGLE-SITE TECHNOLOGY USED AND WHAT ARE THE RISKS?

da Vinci Surgery with Single-Site® Instruments is cleared for use in gallbladder removal, and for hysterectomy and ovary removal for benign conditions. Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci Surgery, including da Vinci Surgery with Single-Site Instruments. There may be an increased risk of incision-site hernia with single-incision surgery, including Single-Site surgery with the da Vinci System.

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