Background: Single-incision laparoscopic appendicectomy (SILA) is an evolution of minimally invasive surgery aimed at minimizing abdominal wall trauma while improving cosmetic outcomes. The glove port technique provides a simple, economical, and versatile method for performing SILA through a single transumbilical incision, making it relevant for both routine and emergency surgical practice.

Methods: This study describes our standardized technique of single-incision laparoscopic appendicectomy performed using a glove port. Following creation of pneumoperitoneum, a customized glove port was introduced through the umbilicus to accommodate the laparoscope and working instruments. Appendicular artery control and appendiceal stump closure were performed intracorporeally. Patients with uncomplicated and selected cases of complicated appendicitis were included. Parameters evaluated included technical feasibility, operative time, requirement for additional ports or conversion, postoperative pain, complications, length of hospital stay, and patient-reported cosmetic satisfaction.

Results: The procedure was successfully completed using a single incision in the majority of cases, without the need for additional ports or conversion. Adequate visualization and operative ergonomics were achieved despite the single-site approach. Operative time decreased with increasing experience. Postoperative pain was minimal, allowing early ambulation and oral intake. Complication rates were comparable to those of conventional multiport laparoscopic appendicectomy. The umbilical incision provided an almost scarless outcome, resulting in high patient satisfaction with cosmesis.

Conclusion: Single-incision laparoscopic appendicectomy using a glove port is a safe, feasible, and reproducible technique when performed by surgeons experienced in laparoscopy. It preserves established surgical principles while offering the advantages of reduced invasiveness and superior cosmetic results. SILA using a glove port represents a practical refinement of laparoscopic appendicectomy and supports the ongoing shift toward less invasive, patient-centered surgical care in modern practice globally.

Dr. Divyakant H. Barot is a Senior Resident in the Department of General Surgery at AIIMS Rajkot. His clinical interest and academic focus are in minimal access surgery, surgical technology adoption, and perioperative patient safety. He has published review article on minimally invasive surgical techniques - single incision laparoscopic appendicectomy in PUBMED ( cureus journal ) and is pursuing structured research on integrating new methods of surgical technique into everyday surgical practice