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minilaparoscopy, minilaparoscopic instrumentsLa laparoscopic surgery, due to its small wounds ranging from 5 mm to just under 2 cm depending on the material used, has rightly been for a very long time considered the "gold standard" of miniminvasiveness: today, however, this title rightfully belongs to the minilaparoscopy.

Thanks to technological developments in the surgical instrumentation manufacturing industry, we now have laparoscopic instruments that are more advanced than traditional instruments, with greater precision and half the size: these are the minilaparoscopic instruments, with a diameter of less than 3 mm, which are introduced through wounds small enough not to require sutures.

With minilaparoscopic instruments, all surgical procedures traditionally performed through the classic laparoscopic route can be performed: cholecystectomies, appendectomy, repairs of inguinal hernias, umbilical and laparoceles, surgery on theintestine and for gastro-oesophageal reflux. The result is less invasiveness and less postoperative pain-in other words: faster return to one's normal activities and life. The cosmetic advantages are obvious: the incisions made for the introduction of the minilaparoscopic instruments are so small that they do not need to be sutured at the end of the procedure and are almost invisible. Moreover, from the point of view of postoperative complications, the advantages are equally obvious: the smaller size of the instruments reduces bleeding and tissue trauma, which translates into less need for pain medication and less restriction of movement - thus, better quality of convalescence. And all this is only due to the use of more subtle tools: as Leonardo da Vinci said, "simplicity is the ultimate sophistication.": today we can undoubtedly say that because of its simplicity, minilaparoscopic surgery can be considered the most sophisticated evolution of laparoscopic surgery.

Imagine if the beautiful Marilyn Monroe had undergone cholecystectomy surgery by minilaparoscopic route instead of the traditional cut on the abdomen...

cholecystectomy, scar, Marilyn Monroe

minilaparoscopy, minilaparoscopic cholecystectomy, laparoscopy, cholecystectomy

Left, the cholecystectomy scar of the beautiful Marilyn Monroe. Above, a patient undergoing minilaparoscopic cholecystectomy surgery: where are the scars?

Dr. Cuccomarino is a pioneer in Italy in the use of minilaparoscopic instruments for procedures such as minimally invasive endoscopic repair of diastasis of the rectus using the REPA technique, repair of inguinal and abdominal hernias and laparoceles, cholecystectomy,appendectomy, and many other abdominal procedures.

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