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dkravishankar@gmail.com

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(65) 9181 7293

Service

Scarless Single Incision Laparoscopic Cholecystectomy

Understanding

What Is SILS?

SILS – Single incision laparoscopic surgery and cholecystectomy is performed through a single incision in the umbilicus (Belly button).

Process

From Incision to Recovery Process

Please see the figures for illustration.
Figure 1
Incision through the belly button (Umbilicus)
Figure 2
SILS laparoscopic cholecystectomy being performed through the single cut in umbilicus
Figure 3
Gallbladder being removed through the umbilicus
Figure 4
Gallbladder and the stones removed and being inspected
Figure 5
Final scar at the end of surgery and a happy patient
Figure 6
Final scar after 4 weeks and a happy patient
The umbilicus is reconstructed at the end of surgery. Once the wound heals there are no externally obvious visible scars.
Advantages

Theoretical Advantages

For further details on cholecystectomy and gallstones please see the section on laparoscopic cholecystectomy

For further details on cholecystectomy and gallstones please see the section on gallstones and laparoscopic cholecystectomy at www.specialistsurgerysingapore.com

In selected cases I also offer single incision (SILS) laparoscopic appendicectomy (I have done the first one in South East Asia) and hernia repair. If you need more details please send an e-mail to dkravishankar@gmail.com

Treatment overview

Single Incision Laparoscopic Surgery Conventional ( 3 or 4 ) Key hole laparoscopic surgery Open surgery

Least pain from one cut in Umbilicus or Suprapubic region

Minimal pain from 3 or 4 cuts with 1 cut being 2 cms and the rest 1 cms long

Open surgical cut based on the size of the hernia. About 10 cms in groin and rest of areas larger than the size of hernia

Minimal risk of mesh infection. Wound infection risk limited to 1 incision site( Least)

Minimal risk of mesh infection. Wound infection risk limited to 3 or 4 incision sites

Higher risk of mesh infection and wound infection

Minimal risk of mesh infection. Wound infection risk limited to 1 incision site( Least)

Minimal risk of mesh infection. Wound infection risk limited to 3 or 4 incision sites

Higher risk of incisional hernia due to the larger incision

Risk of incisional hernia limited to 1 site

Risk of incisional hernia sites corresponds to the number of cuts

Higher risk of incisional hernia due to the larger incision

Shortest recovery time

Short recovery time

Recovery time longer than laparoscopic surgery

Scar hidden within belly button or within Bikini line(no obviously visible scars)

Three or four small scars

Obvious scar of long incision.

Lower risk of recurrence of hernia

Lower risk of recurrence of hernia

Higher risk of recurrence if done without mesh (Primary repair)

Cannot be done in cases of gangrenous bowel/omentum due to risk of mesh infection

Cannot be done in cases of gangrenous bowel/omentum due to risk of mesh infection

Can be done in cases of gangrenous bowel/omentum as a primary repair, which can be done without mesh.

Slightly more expensive due to Additional cost of disposable instruments of 1 key hole laparoscopic surgery compared to 3 key hole offset by quicker recovery

Slightly more expensive than open surgery offset by quicker recovery

Less expensive but cost benefits lost in longer recovery and work hours lost.

Why Choose Dr. Ravi?

Dr. Ravishankar K. Diddapur

Senior Consultant Single Keyhole Laparoscopic Surgeon

MBBS, M.S (Gen Surg – KEMH, Bombay), FAMS
Over 30 years of clinical experience in gastrointestinal and metabolic surgery

Over 30 Years of Surgical Experience
Dr. Ravi has been practicing surgery for more than three decades, with extensive experience in Hepato Pancreatico Biliary conditions with advanced laparoscopic surgery inclusive of one key hole laparoscopic surgery and liver transplants

His clinical focus includes:

Dr. Ravi routinely performs laparoscopic (keyhole) and endoscopic procedures, which are associated with smaller incisions and faster recovery times compared to traditional open surgery.

(Based on standard clinical outcomes for minimally invasive techniques.)

He holds a university academic appointment and is actively involved in teaching medical students and surgical trainees in Singapore, reflecting his commitment to medical education and continuous learning.

Dr. Ravi is affiliated with various international and local professional bodies including: