Surgery without Incisions; Experiences in Single Incision Laparoscopic Surgery (SILS) For Infants and Children

Single-incision laparoscopic surgery is a very exciting new modality in the field of minimal access surgery which works for further reducing the scars of standard laparoscopy and towards scarless surgery [1-3]. Scarless surgery is the Holy Grail of surgery [4]. In the old days adults laparoscopic surgery somehow has more fame around the globe, many cases or journals has been widely published before. Now days pediatric surgeon worldwide has done many surgical procedures for congenital anomalies. Paediatric laparoscopy has been first described in 1923 by Kelling, Minimal Access Surgery was the reduction of scars and thereby pain and suffering of the patients. Over the last two decades, conventional multi-port Minimal Access Surgery (MAS) has established itself as the gold standard for almost all abdominal surgical procedures. The procedure provides safety [1,4-6]. Laparoscopy in neonates has evolved even more slowly when compared to other age groups. Extremely small size of the abdominal cavity causes increased risk of visceral injury and technical difficulty of maneuvering oversized instruments [4,5,7,8] (Figure 1 & 2). Volume 7 Issue 6 2017