Single incision laparoscopic surgery (SILS) is a new way of performing surgical procedures. Surgeons commonly make multiple small cuts on the abdominal wall to pass cameras and instruments for performing a laparoscopic operation.
Single incision surgery is exactly what it states, i.e. the surgeon is making one incision through which the camera and instruments are passed to gain access to the abdominal cavity. Typically, the single incision is made in the belly button crease.
The advantage of SILS surgery is cosmetic with possible decreased postoperative pain. With the advancement of technology which allows this to be done safely, this type of surgery is starting to become more popular. Possible disadvantages include prolonged wound healing and a higher incidence of hernias.
Dr Fowler performed the first SILS LapBand in Hawaii in 2009, and also the first SILS Vertical Sleeve Gastrectomy in Hawaii in 2011. The ability to perform a SILS surgery is dependent on the patient and their specific health conditions.