*Please note that SILS is not commonly performed in the bariatric world. High potential cost, low added benefit vs laparoscopic and robotic surgery and increased risk of umbilical hernia are all potential drawbacks of SILS.
SILS or Single Incision Laparoscopic Surgery allows the surgeon to insert all the medical devices used to perform laparoscopic surgery through one port in the abdomen – usually in the navel. The single access port and specially made equipment allows the surgeon to work within the abdomen as they would otherwise, but without the need for multiple incisions of traditional laparoscopic surgery.
The SILS port is made of a biocompatible latex-free material. It is flexible and can hold up to three surgical instruments at one time. This process allows for a great deal of flexibility while also limiting the incision to one area.
The most obvious difference with this procedure is that, in many cases, the scar left by surgery will not be outwardly visible as it will be contained within the belly button. The rest of the procedure will largely remain the same as a traditional laparoscopic procedure.
While SILS is most often used for hysterectomies and gallbladder surgery, it was tried for some bariatric procedures including laparoscopic adjustable gastric banding. While SILS does offer some cosmetic advantages, it is still major surgery that comes with risks.