Children's Hospital had a successful completion of six surgeries using
the next generation SILST (Single Incision Laparoscopic Surgery)
device. This device, the first of its kind, replaces the multiple ports
currently utilized in minimally invasive surgery. Accomplished by using
specialized RoticulatorT instruments, manufactured by Covidien of
Norwalk, Connecticut - the SILST procedure is performed in surgeries
across multiple surgical specialties such as pediatric, general,
gynecologic, bariatric and urology.
In July of this year, two patients underwent appendectomy, or
removal of the appendix, for the treatment of appendicitis. These
surgeries were the first to be completed utilizing the SILST technology
in children in the state of Iowa and at Blank Children's Hospital.
According to Michael Irish, MD, the pediatric surgeon who performed
the procedure, the patients each had ruptured appendicitis and were
initially treated without surgery allowing them to recover and avoid
potentially more extensive surgery and higher risks of complications.
Initially, the patients each received antibiotics and were allowed to
leave the hospital and return for their surgery electively.
Each patient underwent laparoscopic appendectomy using the SILST
device allowing the entire procedure to be performed through one
incision within the belly button. Dr. Irish said the major advantages
of the SILST procedure is that it utilizes only one access point,
ultimately resulting in potentially, once healed, no visible scar. By
comparison, traditional laparoscopic appendectomies involve three ¼
inch or smaller incisions that leave visible scars and appendectomies
for ruptured appendicitis often require traditional, open and often
"With the successful completion of this procedure, Blank Children's
is now equipped to offer patients one of the most advanced forms of
laparoscopic surgery. This technique has applications in other
minimally invasive procedures in children such as cholecystectomy
(removal of the gallbladder)," said Dr. Irish. "We are thrilled to be
at the forefront of a new technique in pediatric surgery that continues
to transform the minimally invasive arena, resulting in even better
experiences and outcomes for patients."
"At Blank Children's Hospital, patient care is our highest priority.
Procedures including the SILST technique are instrumental in helping us
fulfill our goal of offering patients the latest advancements in
medicine," said Ken Cheyne, MD, medical director at Blank Children's.