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Single Incision Surgery

*What is Single Incision Laparoscopic Surgery (SILS)?

Simply put, it’s surgery done through one incision. Well, that’s traditionally how abdominal surgery has always been done, via one long incision to access the abdominal cavity. Surgery then progressed in the 1990’s to minimally invasive or laparoscopic surgery. In laparoscopic surgery, surgeons make several small incisions, often less than an inch each, to allow placement of trocars to enter the abdomen and allow passage of instruments to operate. Now in SILS, we do the same surgery through just one small incision, often at the belly button. This eliminates the multiple small incisions spread out throughout the abdominal wall that were made in traditional laparoscopic surgery. Often the incision at the belly button can be hidden so that your abdomen almost looks scar-less!

General surgeons started performing SILS for a variety of cases, including gallbladder removal, appendectomies, colon surgery, anti-reflux surgery, hernia repairs, and solid organ operations. Not only do we perform those surgeries here at TLC Surgery, we also perform weight loss surgeries via SILS also. TLC Surgery performed the first SILS Lap Band and Realize Band surgeries in Houston. Often in adjustable gastric banding, a 3-4cm incision is needed to place the port for the band. Traditionally, we would then make 4 additional 5-10mm incisions for additional trocars. Now the port incision is usually the only incision seen after surgery! In addition, we also performed the first SILS Sleeve Gastrectomy in Texas. In that surgery, 5 incisions ranging also from 5-12mm were made. Now we do the surgery through one incision at the belly button that often cannot be seen after it’s healed. We now routinely offer these operations to our patients. That is the TLC Difference!

What does this mean to our patients? First and foremost, we believe in providing our patients with the safest surgery possible. Then we try and do the surgery as minimally invasive as possible because we believe that will reduce post-operative pain and recovery time. If we can do everything through just one incision, often hiding it in the belly button, then our patients have the best cosmetic outcome possible too. To us, the patient comes first and we feel we provide them with the best of all worlds with our SILS procedures.

*Individual Results May Vary

Please contact us for more information.


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Your BMI:

BMI < 20
BMI 20 - 24.9
healthy weight
BMI 25 - 29.9
BMI 30 - 34.9
BMI 35 - 39.9
severe obesity
BMI 40 - 49.9
morbid obesity
BMI > 50
super morbid obesity



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