To offer our patients truly global healthcare, at CODS we are constantly innovating and researching the latest techniques from around the world. One such path breaking procedure we offered our patients before anyone else in Asia is SILS or Single Incision Laparoscopic Surgery (scarless surgery). It's a minimally invasive procedure that only requires a single incision in the navel and leaves the patient with no visible scars post surgery since the scar gets hidden deep inside the navel.
Gone are the days of patients dreading the after effects of surgery. Thanks to SILS here are some of the amazing benefits that most patients experience:
SILS: The least painful procedure because it requires just one incision.
Open surgery: The most painful of the three due to large and multiple incisions.
Laparoscopic surgery: Minimal pain is experienced because of multiple smaller incisions performed.
SILS: No visible scarring as the incision gets hidden in the belly button.
Open surgery: Large scars can be expected because of the size of the incisions and the stitches.
Laparoscopic surgery: Small scars will be visible on the torso.
SILS: A quick recovery is certain as the patient is not subjected to multiple incisions.
Open surgery: Recovery is delayed as the incisions need to heal and follow up may be required.
Laparoscopic surgery: Relatively fast recovery due to small incisions being made.
SILS: Within 3-5 days post the surgery.
Open surgery: In 2 to 3 weeks depending upon the surgery.
Laparoscopic surgery: In about 5 days to a week.
SILS: Yes, there will be no visible scarring.
Open surgery: No, there will be large scars that will not fade easily.
Laparoscopic surgery: Partially confidential, the scars are minor and will fade over time.
SILS: The surgery will be marginally costly due to the expertise and equipment required to perform it.
Open surgery: The cost incurred will be standard.
Laparoscopic surgery: The cost incurred will be slightly higher than that of open surgery.
SILS: The surgery should be performed by an experienced surgeon only.
Open surgery: Must not be performed unless indicated.
Laparoscopic surgery: Can be performed for almost all types of surgeries.
If you had to choose between someone highly experienced and someone who is just learning who would you trust with a life changing surgery? In 2009, Dr. Muffazal Lakdawala and his team performed the first Single Incision Sleeve Gastrectomy in Asia. Since then many patients have gone on to experience the joys of SILS. Being the first in Asia to perform one and having the desired skill and experience levels needed to perform these intricate surgeries has earned CODS the reputation of being 'the SILS experts' in the world. The CODS team is invited the world over to demonstrate single incision procedures.
The surgery is performed through a 2 cm vertical incision in the navel. Specialized ports that are custom made for single incision surgery are used. The surgical steps remain the same as in conventional laparoscopic surgery.
This surgery is technically very demanding and must be performed by surgeons with enough experience in conventional laparoscopic surgeries . It is a very safe procedure in good hands and leads to fabulous results. In a study conducted at our centre, we compared the results between single incision sleeve gastrectomy with laparoscopic sleeve gastrectomy and found that the excess weight loss was similar in both techniques of surgery. The patients of single incision surgery were happier and more satisfied with their (barely visible) scar. They also had much lesser pain in the post-operative period. Complication rates were equally low in both techniques.
If your BMI is up to 60 Kg/m2 you can get this surgery done. If you're young and are worried about the cosmetic effects of surgery then this surgery is perfect for you.
Some of the people discouraged from doing this surgery are those who are super super obese, those who have a BMI that is greater than 60 Kg/m2 or those who have excessive scarring on the abdomen because of previous surgeries.
So far we have performed the SILS procedure on close to 350 patients, the largest series of its kind in the world.