The first hospital in South India to perform Single Incision Laparoscopic Donor Nephrectomy
Manipal Hospital introduces their most recent addition to the world of Laparoscopic Urological surgeons, the Single Incision Laparoscopic Surgery (SILS), for a hi-tech surgery that has been recently applied for urological procedures. The advantages of SILS are less pain, no scarring and speedy recovery.
Dr. S.C. Nagendra Swamy, COO, Bangalore Region, Director Shared Strategic Services said, "Laparoscopic surgery has largely replaced open surgery for a variety of urological procedures and the evolution of SILS has also allowed urologists to further improve on outcomes of conventional laparoscopy.”
Single Incision Laparoscopic Surgery (SILS) procedure involves keyhole surgery wherein insertion of all instruments is done through a single cut on the umbilicus which is a natural scar. The entire surgery is performed through the umbilicus and organ extraction (if required) is done through the same area, leaving behind virtually no visible scar in the abdomen. This is a further refinement over conventional laparoscopy technique which requires 3-4 small (1-1.5 cm) cuts to be made on the abdomen as compared to a single incision that is made through the umbilicus in SILS.
Speaking to media persons Dr. H. Sudarshan Ballal, Medical Director, Manipal Hospital noted, "It is remarkable how medical science has progressed. Today a critical renal surgery is done with minimum trauma to the patient. This is more important for those donating a kidney since pain and post operative complications are marginalized."
Dr. Deepak Dubey, Consultant, Specialist in Laparoscopic Surgery and Renal Transplants, Manipal Hospital said, “This technique is especially useful for kidney donors who are healthy individuals and are donating their organ. They need to undergo the procedure safely, with negligible pain and best cosmetic results. This procedure is being performed only in one other hospital in the country. Besides extraction of the kidney for organ donation, SILS technique can also be used for the removal of some kidney tumors, poorly functioning and damaged kidneys, stones in the urethra and kidneys, removal of the adrenal glands and some congenital urological disorders. It requires special expertise and advanced training as the entire operation is done through a limited space.”
Besides urology, SILS procedures are also being performed by Dr. G Srikanth, Consultant in Gastroenterology surgery at the Manipal Hospital. These include complex surgery of the intestine, pancreas, spleen and colon as well as routine operations like removal of gall bladder and appendix. The special devices used in this procedure can be expensive and cost between Rs. 25,000-45,000. To circumvent this problem, the Department of Gastroenterology surgery and Urology at the Manipal Hospital have developed cost effective innovations to allow more patients to benefit from this technique.
Case Studies:
• Sujatha, mother and working woman, who needed to get back to work quickly donated her kidney to her father who was suffering from end-stage renal disease requiring renal transplantation. Her father underwent a successful transplant and Sujatha made a speedy recovery and resumed work after two weeks of surgery.
• Srividhya, who was found to have a tumor in her right kidney and apprehensive about major surgery underwent the SILS through her belly button recovered and resumed her daily chores within two weeks post surgery.
About Manipal Hospital
The flagship of Manipal Health Systems is Bangalore’s Manipal Hospital that comprises specialized institutes like Manipal Heart Institute (MHI), Manipal Institute for Neurological Disorders (MIND), Manipal Institute of Nephrology and Urology (MINU), Manipal Comprehensive Cancer Centre (MCCC), Manipal International Institute of Dental Science (MIIDS), Manipal Institute of Diabetes, Endocrine and Metabolic Disorders (MIDEM), Manipal Andrology and Reproductive Service (MARS) and Manipal Hospital Diagnostics Services (MHDS) amongst its 55 clinical departments. The hospital has been declared winner of the prestigious Golden Peacock National Quality Award 2005 in the service category. Manipal Hospital, Bangalore is India’s first hospital to be ISO 9001:2000 certified for Clinical, Nursing, Diagnostics and Allied Areas. Manipal Hospital has been repeatedly ranked amongst the ten best hospitals in India.
