Single Incision Laparoscopy

Exclusion Criteria

• •1. Patients with BMI greater than 40
• •2. Minors and cognitively impaired individuals
• •3. Patients who are ASA class IV - Illness that is a constant threat to life
• •4. Patients with ascites or Child's class C of liver failure
• •5. Patients with known common bile duct stones
• •6. Patients with coagulopathy, abnormal coagulation studies, or who take heparin, coumadin, Plavix (clopidogrel), aspirin, or other medication for the purpose of anti-coagulation and cannot be removed from the medication prior to the operation.
• •7. Patients who present with incarcerated (irreducible) or strangulated hernias
• •8. Patients with preoperative hematocrits less than 25.
• •9. Preoperative hematocrit less than 25.
• •10. Patients who have evidence of hemodynamic instability including systolic blood pressure greater than 200 or less than 80.
• •11. Heart rate greater than 130 or less than 50. Respiratory rate greater than 35 or less than 6. Patients who are on continuous pressor drip for blood pressure support.
• •12. Patients who present for emergency adrenalectomy.
• •13. Patients with CT scan evidence of an abdominal abscess.
• •14. Patients who present 48 hours after the onset of abdominal pain (appendectomy patients)