A Semicircular Incision in the Superior Umbilical Fold for SILS Preserves the Umbilical Profile

Abstract EN

Single Incision Laparoscopic Surgery (SILS) has been highlighted in the recent literature as a means of performing a range of common, minimal access, paediatric surgical procedures.

The primary attraction is the absence of visible scarring.

Aim.

This study aims to describe a cosmetically advantageous means of SILS port placement in children, which preserves the umbilical profile.

Methods.

We describe a paediatric case series utilising a semicircular incision in the superior umbilical fold for SILS procedures.

The linea alba is exposed over 2 cm just superior to the umbilical ring and stay sutures are applied.

A vertical incision is made over this distance without entering the umbilical ring.

Data were recorded prospectively in a Microsoft Excel database.

Results.

Twenty-one cases were performed in a 1-year period.

Ten appendicectomies, 5 ovarian/paraovarian cystectomies, 2 Palomo procedures, 3 nephrectomy/heminephrectomies, and 1 Meckel’s diverticulectomy were performed.

There was 1 wound infection.

No incisional hernias occurred.

Discussion.

We believe that our technique, which maintains the integrity of the umbilical ring and allows preservation of the umbilical profile, offers a distinct cosmetic advantage over other incisions for SILS which distort it.

Conclusion.

We have demonstrated the aesthetic benefits of utilising a superior umbilical-fold incision for SILS in children.