Laparoscopy

Abstract

A minimal access approach has been one of the most substantial changes to surgery in the last century with most specialties recognizing the endoscopic technique as one that reduces patient morbidity, improves postoperative recovery, and may reduce costs associated with healthcare delivery. In gynaecological laparoscopy, all surgical procedures may be undertaken by this method, although approaches vary and the evidence for individual techniques is qualitatively disparate. Whenever possible, it is recommended that an evidence-based practical application of surgery be followed and this chapter considers the evidence about gynaecological laparoscopy. It will follow options for managing the laparoscopy patient, rather than focusing on individual procedures. The evidence will be addressed according to both quality and volume. It is outside of the scope to consider all possible surgical techniques and the chapter appraises the various aspects of care that are common to gynaecological laparoscopy in a logical and sequential manner.