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Thursday, September 24, 2009

SILS Sleeve Gastrectomy

On 14th September 2009, the CODS (Centre for Obesity and Diabetes Support) team of doctors created history at the hospital by successfully performing the first ever true single incision laparoscopic surgery (SILS) for sleeve gastrectomy in the whole of Asia. I was fortunate enough to be part of this team!

The SILS procedure is one of advanced laparoscopy wherein a single port of entry is devised using a special flexible port so that we can enter the abdomen through just one incision on the umbilicus and perform the surgery which would otherwise use 5 ports.

The advantages are immediately evident:

Single port (I can't emphasise this enough)
Less pain
Less recovery time
Obviously better cosmetic outcome
Done correctly the scar from the single incision hides within the umbilicus so virtually scarless!
Absolute boon for young women who need surgery but don't want it to be seen.

For the other side of the coin (and there always is one), it is marginally more expensive (should not be a problem for the kind of patients we're targetting) and requires a learning curve that would be greater than regular laparoscopic surgery.

It was tough, it required skill which my boss very capably handled and it required patience which I think came to the team knowing that we could become part of history.

We have had the company confirm that this was the first of its kind in Asia. We know that other surgical procedures have been carried out using the single port and have been published as well. We know that in the States this procedure is already on the way.

Keeping all this in view, We are all still quite damn proud to be the first in Asia to do what we did because we know that what we did was technically far superior to the other procedures done so far and its only a matter of time till we catch up with our compatriots in the States.

Bottom Line: We did it first!

This is a link for all those who can bear to watch.
Click here to You Tube It!

Squeamish people can stop reading here. Attached below is the picture of the port used and the final appearance on the umbilicus which will be difficult to find in about 3 weeks.


PoppadumArt said...

hey! that's awesome! congratulations to you and the whole team. would expect doc to lead something like this. didn't see it in the papers though...i think this would be very big news.

Techknowdoc said...

I know it should have been in the papers but I don't know what happened to that.
I think there was a small write up in HT or something on page 6

Techknowdoc said...

Also we're still looking for a good PR team for CODS. Know anyone?

Doc said...

Dear Sir,
While we congratulate you and your team for performing a SILS procedure, technically I think you are not the first in Asia because my friend Dr. M. Maran of the Springfield Wellness Centre at BR Hospital, No 20, GN, Chetty Road, T-Nagar, Chennai precedes you by 4 days! He had done a partial gastrectomy/hysterectomy on a 46yr old Nigerian lady with a BMI of 39 by a true SILS procedure on the 10th of September and your procedure was done on the 14th of Sept if I remember correctly.

If you go through this link wherein I've updated my Twitter status on the 10th of Sept congratulating him for his amazing feat, and at that time I thought it was India's first whereas only later did we know that it is the first in Asia and possibly Afro-Australasia! I am also happy that we did get quite some media publicity for this.

You can also go through Dr. Maran's post on blogspot regarding this.

For any further clarifications I think you ought to contact Covidien, they'd be able to give you an idea.

Thank you very much.

Techknowdoc said...

Dear Doc,
I think you have misunderstood our post. We do not claim to be the first team in Asia to do a SILS procedure.
We are talking specifically about the bariatric procedure Sleeve Gastrectomy being done through a SILS technique.
We hold no claims to the first SILS by any means.
We have also confirmed this with Covidien as regards the Sleeve Gastrectomy procedure.

Doc said...

No Sir,
I don't think I've misunderstood your post!

A partial gastrectomy wherein you remove 2/3rds of the stomach through a SILS procedure for a patient whose BMI is 39 falls under the technical term sleeve gastrectomy, right? Well that's what Dr. Maran did AND a hysterectomy too!


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