title: SILACIG: A novel technique of single-incision laparoscopic appendicectomy based on institutional experience of 29 cases.
abstract: BACKGROUND
  More reports of single-incision laparoscopic appendectomy are appearing in literature as it is an improvement over multiport laparoscopy in further reducing the trauma to abdomen. But, most of techniques require expensive gadgets like commercial ports and manoeuverable instruments, which are not available at many centres. In this context, a feasibility study of our own operative technique of single-incision laparoscopic appendectomy with less expensive conventional instrumentation was conducted at a single centre.
  
  
  METHODS
  This prospective study was carried out in tertiary care teaching institute of a semi-urban area in South India over a period of 1 year from March 2011 to February 2012. Twenty-nine patients of appendicitis were included in this study. Based on the principles of single-incision laparoscopy, we developed a glove port utilizing readily available operation theatre equipment.
  
  
  RESULTS
  Mean operative time was 56±12 minutes. Mean age of subjects was 34±15 years. M: F ratio was 2:1. There was no significant perioperative morbidity or mortality. Mean follow-up period was 8 months.
  
  
  CONCLUSIONS
  Our initial experience with this technique of single-incision laparoscopic appendectomy demonstrates its feasibility, safety at a very low cost.
authors.affiliation: Department of General Surgery, Mamata Medical College and Hospital (MMC/MGH), Khammam, India.
authors.forename: S K
authors.initials: SK
authors.lastname: Uday
authors.forename: P R K
authors.initials: PR
authors.lastname: Bhargav
keywords: Appendicectomy; glove port; single incision laparoscopy