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Two of the least invasive options that patients in Atlanta often explore for bariatric and laparoscopic surgery are Single-Port Laparoscopic Surgery (SSILS) and standard bariatric surgery. Both procedures aim for permanent weight loss and improved health, but they differ in their techniques, recovery processes, and the amount of scarring involved. Additionally, there are specific locations for these surgeries and criteria for candidate eligibility.
Bariatric procedures increased from 2012 to 2018, remained flat for 2 years, and decreased in 2020–2021. Annual rates ranged from 59.2 (2012) to 79.6 (2018) per 100,000 adults. The percentage of laparoscopy varied between 96.2% and 98.8% of surgeries. By 2018, SG dominated the market share ( >74%), while RYGB accounted for only 17.1%, and AGB decreased markedly, according to PubMed Central.
This blog will describe what you need to know—from how each procedure works, to what patients generally go through, to the conversations you should have with your bariatric surgeon in Atlanta.
What Is Single Incision Laparoscopic Surgery (SILS)?
SILS (Single Incision Laparoscopic Surgery) is a type of bariatric surgery performed through a single small incision hidden in your navel.
Key features of SSILS:
- Reduces the number of incisions with only one entry point
- A small amount of visible scarring is quite common.
- Reduces tissue trauma
- Strives for a more cosmetic result.
- May reduce recovery time in some patients
SSILS is frequently used for surgeries such as sleeve gastrectomy and gastric banding, depending on the surgeon’s experience and the patient’s anatomy.
What Is Traditional Bariatric Surgery?
The traditional laparoscopic approach involves several small (usually 3-5) incisions around the abdomen.
Key features of traditional methods:
- Multiple access points for instruments
- Offers greater manipulation and versatility under challenging cases
- Suitable for more diverse BMIs and anatomies
- Frequently used in high-risk or revision surgery
- Proven history of efficacy and safety
Depending on your medical history, BMI level, and surgical goals, Atlanta bariatric surgeon Dr. Will Johnson may suggest that the traditional method is best for you.
How Are the Two Approaches Different?
Below is an easy comparison to help you understand the distinctions:
Table: SSILS vs. Traditional Bariatric Surgery
| Feature | SILS | Traditional Bariatric Surgery |
|---|---|---|
| Number of Incisions | 1 (navel area) | 3–5 small incisions |
| Cosmetic Outcome | Minimal visible scarring | Small but noticeable scars |
| Candidate Eligibility | Select patients | Broad eligibility |
| Surgical Complexity | Higher for surgeon | Standard for most surgeons |
| Recovery Time | Potentially faster | Generally predictable |
| Technique Flexibility | Limited | Highly flexible for complex cases |
What are the Benefits of Both Procedures?
Common benefits between SILS and conventional bariatric surgery to date are:
- Significant weight-loss potential
- Improvement in obesity-related conditions
- Enhanced mobility and daily comfort
- Increased energy levels
- Potential reductions in medication use
- long-term health benefits when combined with lifestyle changes
Both methods produce lasting results when paired with a monitored diet and exercise regimen.
Selection Between SILS and Conventional Surgery: How to Find the Right One
Selecting the best option will be a joint decision between you and an experienced bariatric surgeon.
Here’s what to consider:
- Your BMI
- Existing medical conditions
- Prior abdominal surgeries
- Scarring and Appearance Goals
- Your surgeon’s experience with SSILS
- Complexity of the planned procedure
- Insurance coverage and network options
Atlanta-area clinics, including Bodiatrics, offer pre-surgery evaluations to determine your eligibility for SSILS.
Why So Many Atlanta Patients Choose SILS
Atlanta has a large population of patients seeking bariatric options, and the SSILS procedure is often preferred for a couple of reasons:
Cosmetic Preference
SSILS is an ideal choice for those patients who do not want to have scars around the abdomen.
Potentially Quicker Comfort Post-Surgery
Some patients experience less initial pain due to fewer incisions.
Discreet Recovery
As the incision is made inside the navel, patients appreciate that healing from surgery is discreet.
When to Go the Traditional Bariatric Surgery Route?
For all its appeal, SILS is not yet the standard of care for most Atlanta bariatric surgery patients.
One may be a better candidate for traditional surgery if:
- You have a higher BMI
- You might require some revision or a touch-up procedure
- Your biology dictates that more entry points are necessary
- The procedure planned is complex
Common traditional surgery offers the surgeon greater freedom, especially for delicate or extensive operations.
Questions to pose to your surgeon in Atlanta: What to Ask
To have the most confidence in your choice, here are some questions to ask your bariatric team:
- Do I qualify for an SILS?
- How many SILS are in your series?
- What are the key changes in my recovery time?
- Does my insurance policy include both?
- What long-term lifestyle adjustments should I anticipate?
- Which risks are relevant for me?
Knowing the answers to all such questions allows you to select a path aligned with your health goals.
Final Thoughts
Both SILS and modern bariatric surgery are great, widely accepted options for losing weight permanently. For patients in Atlanta, the choice seems to be a matter of whether they qualify for this option and what they and their surgeon prefer.
SSILS offers aesthetic benefits and a single incision, whereas traditional approaches provide superior maneuverability and applicability in the patient population. The secret is to get a complete work-up from a board-certified bariatric doctor who truly listens to your past medical history and goals.
Frequently Asked Questions for SILS vs Traditional Bariatric Surgery:
Question 1. Why is SILS a good option for Atlanta patients?
Answer. SILS is a straightforward single-incision procedure, so the benefits include minimized scarring and possibly less early pain. For many Atlanta patients, it is an effective solution, offering a discreet cosmetic outcome and the potential for a smoother return to normal activities.
Question 2. Does SSILS produce results as good as those of traditional bariatric surgery?
Answer. The goal is to lose the same amount of weight with both SSILS and standard methods. The only variation is the surgical technique. Success varies with the specific procedure and the patient’s willingness to commit to making healthier choices over time.
Question 3. Who is an ideal candidate for SSILS?
Answer. SSILS is usually offered to those with a lower BMI, minimal abdominal scar tissue, and favorable anatomy. Your Atlanta surgeon, Dr. Will Johnson, will also review your medical history to determine whether a single-incision approach is possible and safe.
Question 4. Does the recovery differ between SSILS and traditional surgery?
Answer. With SSILS, some patients experience less discomfort because they only have one incision. But the recovery time still depends on the specific surgery, your general health, and how well you adhere to post-surgery recommendations.
Question 5. How to Select the Best Bariatric Surgeon in Atlanta?
Answer. Whenever you are looking for the best bariatric surgeon in Atlanta, you need to seek board certification, experience in SSILS and traditional techniques, good communication skills, and patient feedback. Book your consultation to define your goals and determine what is best for you medically.
