title: Single-incision multi-port laparoscopic appendectomy: How I do it.
abstract: BACKGROUND
  Single-incision laparoscopic surgery (SILS) appendectomy seeks to further minimise the trauma of parietal access of laparoscopic appendectomy.
  
  
  METHODS
  We present our initial experience of 17 cases of SILS appendectomy which were completed using conventional laparoscopic instruments. We utiliesd a single-incision multi-port laparoscopic appendectomy (SIMPLA) technique.
  
  
  RESULTS
  The operative time was 63 ± 20 min, blood loss 6.5 ± 5 mL, bowel movement (passing stool) occurred in 2.6 ± 0.6 days. Most patients were discharged on the first operative day on oral diet. The analgesic usage and pain scores were similar to multi-port laparoscopic appendectomy. No complications were noted at follow-up till 4 weeks and the surgical wound healed in all patients with an inconspicuous scar.
  
  
  CONCLUSIONS
  Our initial experience with SILS appendectomy demonstrates its feasibility and supports the promise of minimising further the access of laparoscopic surgery. The clear advantage is its cosmetic benefit.
authors.affiliation: Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital and Bhatia Global Hospital & Endosurgery Institute, New Delhi, India.
authors.forename: Parveen
authors.initials: P
authors.lastname: Bhatia
authors.forename: Vinay
authors.initials: V
authors.lastname: Sabharwal
authors.forename: Sudhir
authors.initials: S
authors.lastname: Kalhan
authors.forename: Suviraj
authors.initials: S
authors.lastname: John
authors.forename: Jagpreet S
authors.initials: JS
authors.lastname: Deed
authors.forename: Mukund
authors.initials: M
authors.lastname: Khetan