A Semicircular Incision in the Superior Umbilical Fold for SILS Preserves the Umbilical Profile. (12th December 2012)

• Record Type: Journal Article
• Authors: Blackburn, S. C.; Adams, S. D.; Mahomed, A. A.
• Other Names: Schöb Othmar Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2012(2012)
• Publication Date: 2012-12-12
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2012/412623
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : Background . Single Incision Laparoscopic Surgery (SILS) has been highlighted in the recent literature as a means of performing a range of common, minimal access, paediatric surgical procedures. The primary attraction is the absence of visible scarring. Aim . This study aims to describe a cosmetically advantageous means of SILS port placement in children, which preserves the umbilical profile. Methods . We describe a paediatric case series utilising a semicircular incision in the superior umbilical fold for SILS procedures. The linea alba is exposed over 2 cm just superior to the umbilical ring and stay sutures are applied. A vertical incision is made over this distance without entering the umbilical ring. Data were recorded prospectively in a Microsoft Excel database. Results . Twenty-one cases were performed in a 1-year period. Ten appendicectomies, 5 ovarian/paraovarian cystectomies, 2 Palomo procedures, 3 nephrectomy/heminephrectomies, and 1 Meckel's diverticulectomy were performed. There was 1 wound infection. No incisional hernias occurred. Discussion . We believe that our technique, which maintains the integrity of the umbilical ring and allows preservation of the umbilical profile, offers a distinct cosmetic advantage over other incisions for SILS which distort it. Conclusion . We have demonstrated the aesthetic benefits of utilising a superior umbilical-fold incision for SILS in children.