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Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS)
Aziz M Merchant1, Michael W Cook, Brent C White
1Emory Endosurgery Unit, Department of Surgery, Emory University, 1364 Clifton Road, Suite H-127, Atlanta, GA 30322, USA.
Introduction:
Single incision laparoscopic surgery (SILS) is an area of active research within general surgery.
Discussion:
A number of procedures, including cholecystectomy, appendectomy, urologic procedures, adrenalectomy, and bariatric procedures, are currently being performed with this methodology. There is, as yet, no standard published technique for single-port access to the peritoneal cavity for SILS. We describe, herein, an access technique utilizing existing instrumentation including a Gelport and wound retractor that is reliable and easy. This technique has been used successfully at our institution for a number of single incision laparoscopic procedures.
