Single Incision Laparoscopic Assisted Appendectomy (SILAA): A Retrospective Analysis of 50 Consecutive Cases

Background: Single incision laparoscopic assisted appendectomy (SILAA) is a minimally invasive surgical technique that offers potential benefits over traditional open and laparoscopic appendectomies. Laparoscopic appendectomy (LA) has advantage to diagnose and to also treat appendicitis at the same time also it has a less postoperative pain and a faster return to work and normal activity. In a classic LA, three to four incisions are required for trocars placement. Technique of Single Incision Laparoscopic Appendicectomy (SILA) has been developed to reduce abdominal trauma, improve cosmesis, reductions in postoperative pain and hospital stay. Aim of this prospective study was to test the feasibility, safety, and potential advantages of SILA. Material and Methods: Patients over the age of 18 with a diagnosis of acute abdomen, later on confirmed to acute appendicitis based on clinical findings, imaging and laboratory tests were included in the study. Outcome of the patient was assessed in the form of operative time; length of hospital stays and postoperative complications. Prophylactic antibiotics were given pre-operatively to all the patients included in the study. Technique was evaluated for operative time, postoperative pain, post-operative length of stay and complication rate. Post-operative pain was evaluated at 12 hrs, day 1 and day 2 post-operatively by using a visual analogue scale (VAS) which ranged from 0 to 10. Patients were evaluated on the 7th and 14th postoperative day for analysis of recovery, any surgical site infection, abscess formation, abdominal tenderness, and aesthetic satisfaction. Conclusion: Single incision appendicectomy operative time is less, pain is less, and hospital stay is reduced thereby increasing the patient satisfaction and this technique is effective in terms of pain and hospital stay.