SILS: Faster Recovery, Exciting Benefits
SILS: Faster Recovery, Exciting Benefits
Providing the benefits of fewer scars, less pain and shorter recovery periods through SILS
Providing the benefits of fewer scars, less pain and shorter recovery periods through SILS

Providing the benefits of fewer scars, the opportunity of less pain and shorter recovery periods, Single Incision Laparoscopic Surgery (SILS) is one of the newest laparoscopic techniques, and it’s regarded as non-invasive, according to Consultant Obstetrics & Gynaecologist Dr. S. Selva.

How is it done?

A single incision measuring 2.5 cm is made in the umbilicus. The incision is then extended under the skin (subcutaneously). A 5 mm trocar measuring 15 mm in length is placed at the centre of this incision. Carbon dioxide is passed into the abdominal cavity to distend the abdomen to allow the doctor to see the pelvic organs and perform the surgery more easily. A 5mm laparoscope attached to a camera is passed into the abdomen, and video images captured by the video camera are displayed on a video monitor.

A powerful light source is channeled into the abdominal cavity for illumination purposes. Another two 5 mm trocars are placed laterally to the first trocar via the same incision, and instruments like laparoscopic scissors, graspers are inserted through these two 5 mm trocars as surgeries are performed. At the end of the surgery, all instruments are removed, and the carbon dioxide gas is released. The umbilical incision is sutured.

What are the advantages?

The many advantages of traditional laparoscopic surgery also benefit single incision laparoscopic surgery. This includes:

  • Less postoperative pain
  • Quicker return of bowel function
  • Quicker return to solid food
  • Quicker return to daily activities
  • Reduced chance of scar information in the abdomen
  • Reduced infection rate
  • Reduced bleeding during surgery.
  • Shorter hospital stay
  • Video magnification offers the surgeon a better view of diseases organs and its surrounding vessels

The added benefit of single incision laparoscopic surgery is that there will be only one scar hidden in the umbilicus. Due to a single incision, the postoperative pain is also believed to be lesser than traditional laparoscopic surgery.

What are the disadvantages?

It is technically more demanding for the surgeon to perform this surgery. There may be crowding of instruments in the umbilicus, and there will be limitations in the movement of instruments (triangulation).

Who are the suitable candidates?

SILS in gynaecology is usually performed for uncomplicated cases such as:

  • Diagnostic laparoscope and dye test for the investigation of infertility
  • Laparoscopic tubal ligation
  • Laparoscopic salpingo-oophorectomy (removal of the tube and ovary) for ovarian cysts
  • Laparoscopic cystectomy (removal of the cyst) for ovarian cysts
  • Laparoscopic salpingectomy (removal of the fallopian tube) for ectopic pregnancy
  • Total laparoscopic hysterectomy (removal of the uterus)
  • Laparoscopic myomectomy (removal of the fibroid)

To know more about SILS, contact us or talk to our doctors to learn more.

Stages of A Woman's Life
Stages of A Woman's Life
From childhood to adulthood, let's look at all the phases women go through in life
From childhood to adulthood, let's look at all the phases women go through in life

In almost every country worldwide, females’ life expectancy is higher than males while the population of males is slightly greater than females worldwide.  The word woman is believed to have derived from the Middle English term ‘wyfman,’ broken down simply as a wife (wyf) of man. In old English, women are described simply as wyf, while the term ‘man’ was used to describe a human person, regardless of gender.  A person’s gender is biologically determined by the sex chromosomes, one set of a human’s 23 pairs of chromosomes. Females have two X chromosomes, while males have one X and a Y chromosome.  Our modern languages categorise females in different life stages: infancy, childhood, adolescence, adulthood and crone.  Birth occurs after the foetus has developed for about 36 to 40 weeks from the point of fertilization of sperm and egg united in a single cell in a process called delivery. Birth is considered a pre-stage of the five stages of female life.

Infancy

During infancy, which is the first stage of a female after birth can be defined as a child who is not yet one-year-old; in other words, up to its first birthday, the child is identified as an infant. Infancy is the official early stage of life. At this time, the child is wholly dependant on others for her life and safety.

An infant is considered synonymous with a baby’s image, but when a human child learns to walk, the term toddler may be used instead.

At Mahkota Woman and Child Centre, a team of dedicated doctors and staff are ever ready to provide the best care for both women and children.

Childhood

Childhood is considered the second life stage, which lasts from when a child turns one to the age of ten. A child, at this stage, learns to walk, talk, and interact with others.

However, as she matures, a child will become more independent and socially active.

Adolescence

The third stage of the female life cycle is identified as adolescence, which defines the child’s life from the age of 12 to 18.

During this stage, teenagers tend to grow in learning, emotional and physical stature, experience puberty, growth spurts, emotional turmoil triggered by the search for personal identity, hormone production and desire for greater independence.

Adulthood

Adulthood lasts from roughly 18 to late 40s. During this stage, most female adults experience increased responsibility and meaningful relationships.

In particular, female adults tend to nurture relationships with friends, peers and develop personal traits and belief systems that often last the rest of their lives.

When they get married, they are referred to as mothers or women in their child-bearing years.

Post-menopausal

A crone can be described as a post-menopausal woman. Women in the country had a higher life expectancy at 77 years compared to men and 71.9 years.

The average life expectancy at birth for women is presently 79 years of age. This is expected to increase over the next decade and peak at about 86 years of age.

Advances in health and medicine help reduce the death from many of the chronic illnesses such as diabetes, osteoporosis and heart disease that account for most of the deaths.

Screening: Avoiding Unexpected Health Bills
Screening: Avoiding Unexpected Health Bills
Fear of medical bills can be eliminated through essential screening tests
Fear of medical bills can be eliminated through essential screening tests

It is true when they say an ounce of prevention is worth a pound of cure. Getting checked early for diseases such as cancer, diabetes, and osteoporosis, do not only make it easier to treat but also avoid hefty medical bills that can be financially devastating and cause great anxiety.  With screening tests, you can spot illnesses even before you have symptoms. Here are several essential health screenings that you may want to consider if you fear that you are at risk of getting a disease based on your age, family history, personal health history, and other risk factors.

Breast Cancer

About one in 19 women in Malaysia are at risk of breast cancer, and it is the most common form of cancer among Malaysian women. The earlier you find breast cancer, the more chances there are for a cure. Be breast aware and seek early medical advice if anything is different from the usual.

Better yet, get the screening you need with a healthcare professional every one to three years, and more frequently if you have extra risk factors. Get mammograms when you reach 40 at least once a year.

Cervical Cancer

Cervical cancer is the second most common cancer among Malaysian women with 18 out of 100,000 are at risk of cervical cancer.

Cervical cancer can be avoided through pap smears or HPV tests. Abnormal cells identified in the cervix can be removed before they turn into cancer. Doctors will take sample via a pap smear or in combination with HPV testing to know your risk of cervical cancer.

Osteoporosis and Fractured Bones

After menopause, women start to lose bone mass, with first symptoms coming in the form of a painful bread after a minor fall, blow, or sudden twists. According to the Ministry of Health, 90 per 100,000 Malaysians above 50 years old are at risk of getting hip fractures.

Common sites of fracture occur at the spine, wrist and hip. Early detection is essential, and the best screening test for osteoporosis is dual-energy X-ray absorptiometry (DEXA) with measures bone density in areas most likely to be affected by osteoporosis – spine, hip, and wrist.

High Blood Pressure

As you get older, the risk of high blood pressure increases. The Ministry of Health reported that only 35% of Malaysian patient achieve blood pressure control. Work with a doctor to control it and prevent long-term dangers like heart disease and kidney failure.

Screen for blood pressure, and monitor both your systolic (first) and diastolic (second) pressure between beats.

Talk to your doctor about screening test and make it a routine to look after yourselves. Proper screening may not prevent a disease, but finding a condition early may give you an upper hand at winning.

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