What Is SIPS Surgery?
SIPS surgery rightfully termed as Single Incision Para-Abdominal (hernia) Surgery, was developed at The Johns Hopkins Hospital as a method to avoid the conventional laparotomy incision during hernia procedures. This less invasive approach is intended for use on patients who have been diagnosed with a para-umbilical or groin hernia, and it utilizes only one small incision that measures about 4 cm in length just above the navel.
The SIPS surgery is done through a small incision that is made just above the navel. This less invasive approach is intended for use on patients who have been diagnosed with a para-umbilical or groin hernia.
What Is a Hernia?
A hernia occurs when part of an organ or fatty tissue protrudes through the muscle wall in the abdomen. This causes an opening in the body that allows internal structures to push through and bulge out. The most common types of hernias are referred to as “inguinal” and “femoral.” The symptoms of a hernia depend on the size and location of the protrusion.
SIPS surgery is commonly done for patients that suffer from symptoms related to para-umbilical or groin hernias, which are often caused by increased intra-abdominal pressure. Other risk factors include having a high body mass index, pregnancy, or chronic cough.
The surgical procedure begins by inserting an endoscope (a small flexible tube with a tiny camera) to allow the surgeon to see inside the lower abdomen. Next, three small incisions are made in the abdominal wall near each other, just above the belly button. A special kind of tool that uses an energy source (usually heat) is then inserted through the opening, and it gently cauterizes the base of the hernia sac. The surgeon then inserts a lighted instrument into one of the three openings to pull out the hernia sac. For para-umbilical hernias, this opening will be close to or next to the patient’s navel. For femoral hernias, this opening will be near the top of one of the legs.
The SIPS procedure is usually performed under general anesthesia. The surgery lasts about 45 minutes to an hour and promotes rapid recovery for patients because there is only one small incision that requires minimal suturing. Patients will be able to resume their normal activities within about one week of their surgery date.