World Journal of Laparoscopic Surgery

Register      Login

VOLUME 6 , ISSUE 2 ( May-August, 2013 ) > List of Articles


Energy System and Endosuturing in Single Incision Laparoscopy Surgery

B Beena Kumari

Citation Information : Kumari BB. Energy System and Endosuturing in Single Incision Laparoscopy Surgery. World J Lap Surg 2013; 6 (2):86-92.

DOI: 10.5005/jp-journals-10033-1188

Published Online: 01-04-2016

Copyright Statement:  Copyright © 2013; The Author(s).



SILS is a newer laparoscopic technique emerging in this era. So this article aims to provide an overview on safer surgical skills by understanding basic principles and proper application of energy source and endosuturing techniques.

Materials and methods

Articles of relevant studies are explored from Google, HighWire Press, PubMed, SpringerLink using keywords—single incision laparoscopy surgery (SILS), energy source in SILS, suturing in SILS.


The main aim is to evaluate the best energy source which can be used in SILS with better ergonomics and to define the good suturing technique in single port laparoscopic surgery.


Most of the studies show that newer energy devices, such as LigaSure, harmonic and EnSeal, are being used with advantage of less smoke, less operative time, very minimal blood loss, less drop in hemoglobin value postoperatively, and reduced duration of hospital stay. Endosuturing using roticulators, Endostitch is easier, though intracorporeal and extracorporeal knotting can also be perfomed same like conventional laparoscopy.


LigaSure, harmonic and EnSeal can be safely used as multifunctional devices in the available space in SILS without changing the instruments frequently as in conventional laparoscopy. Both intracorporeal and extracorporeal knot can be put by practice and with aid of newer suturing devices.

How to cite this article

Kumari BB. Energy System and Endosuturing in Single Incision Laparoscopy Surgery. World J Laparosc Surg 2013;6(2):86-92.

PDF Share
  1. Elimination of second incision in laparoscopic sterilization. Obstet Gynecol 1972 Jan;39(1):134-136.
  2. NJ Med 1991 Oct;88(10):721-726.
  3. Energy systems for operative laparoscopy. Am J Assoc Gynecol Laparosc 1998 Nov;5(4):333-349.
  4. Bipolar electrosurgery: convention and innovation. ClinObstet Gynecol 2008 Mar;51(1):153-158.
  5. Advanced energy systems for laparoscopic gynecology procedure. Supplement to OBG Management 2009 Nov;1-8.
  6. Applying single-incision laparoscopic surgery to gyn practice: What's involved. OBG Management 2011 April;23(4):28-36.
  7. Laparoendoscopic single-site surgery (LESS) for a large ovarian tumour: first clinical case report. J Minim Invasive Surg 2011;2011:105643.
  8. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol 2008;22(10):2307-2312.
  9. Evaluation of the safety, efficacy, and versatility of a new surgical energy device (Thunderbeat) in comparison with Harmonic ACE, LigaSure V, and EnSeal devices in a porcine model. J Laparoendosc Adv Surg Tech A 2012 May;22(4):378-386.
  10. Ten steps of ‘Scarless’ single incision total laparoscopic hysterectomy. Newsonline-Bhatia Global Hospital and Endosurgery Institute 2010 Feb;10(2).
  11. Single incision bilateral laparoscopic oophorectomy. J Minim Access Surg 2011 Jan-Mar;7(1):87-89.
  12. Single incision laparoscopic surgery— ovarian cystectomy in large benign cyst by using conventional instruments. J Minim Access Surg 2011 Oct-Dec;7(4):232-235.
  13. Transumbilical totally laparoscopic single port nissen fundoplication: a new method of liver retraction. The Istanbul technique. J Gastrointest Surg 2010 Jun;14(5):1035-1039.
  14. Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: A comparison of surgical results. World J Surg Oncol 2012;10:61;1-6.
  15. Advances in vessel sealing for laparoscopic bariatric surgery. Clin Exp 2012 Jun;39:6.
  16. Minimally invasive single-site surgery for the digestive system: a technological review. J Minim Access Surg 2011 Jan-Mar;7(1):40-51.
  17. Use of a new energy based vessel ligation device during laparoscopic gynaecologic oncologic surgery. Surg Endosc Mar 2003;17(3):466-468.
  18. Transumbilical single incision laparoscopic hysterectomy for large uterus: Feasibilty of the technique. Gynecol Surg 2010 Mar;7:143-148.
  19. Transumbilical single incision laparoscopic surgery: application to laparoscopically assisted vaginal hysterectomy. Arch Gynecol Obstet 2011 Feb;283(2):305-309.
  20. Single-port access laparoscopy-assisted vaginal hysterectomy: Our initial experiences with 100 cases. Minim Invasive Surg 2012;2012:1-5.
  21. Effectiveness of the ultrasonic coagulating shears, LigaSure vessel sealer, and surgical clip application in biliary surgery: A comparative analysis. Am Surg 2001 Sep;67(9):901-906.
  22. Laparoscopic supracervical hysterectomy, bilateral salpingo-oophorectomy, sacrocolpopexy and burch colposuspension performed during the same operative session via a single port. Arch Gynecol Obstet 2011;283(Suppl 1):S127-S131.
  23. Single-port laparoscopic surgery in children: Concept and controversies of the new technique. Minim Invasive Surg 2012;2012:1-6.
  24. Transumbilical singleincision total laparoscopic hysterectomy: technique and initial experience in Turkey. Ginekol Pol 2012 Aug;83(18):581-585.
  25. Transumbilical single incision laparoscopic hysterectomy with conventional laparoscopic instruments in patients with symptomatic leiomyoma and/or adenomyosis. Arch Gynecol Obstet 2011 Oct;284(4):893-900.
  26. Single port access laparoscopic hysterectomy: a new dimension of minimally invasive surgery. J Gynecol Endosc Surg 2011 Jan-Jun;2(1):11-17.
  27. Single incision laparoscopic splenectomy in a 5-year-old with hereditary spherocytosis. JSLS 2010 April-Jun;14(2):286-288.
  28. Laparoendoscopic single site surgery for the treatment of benign adnexal disease: a prospective trial. Diag Therap Endo 2010;2010:1-4.
  29. Salpingectomy for ectopic pregnancy by transumbilical single site laparoscopy with the SILS system. Eur J Obstet Gynecol Reprod Biol 2012 May;162(1):67-70.
  30. A remarkably easy knot-tying technique for singleincision laparoscopic surgery with the SILS port for gynecologic diseases. J Minimal Invasive Gynecol 2011 July;18(14):500-502.
  31. A simple knot tying technique in SILS. Clinics 2010;65(10):1055-1057.
  32. Linear salpingotomy with suturing by single incision laparoscopic surgery for tubal ectopic pregnancy. Acta Obstet Gynecol Scand 2010 Dec;89(12):1604-1607.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.