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Laparoscopic Entry Techniques: Consensus

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Complications in Gynecological Surgery

Abstract

Once relatively confined to obstetrics and gynecology, laparoscopic procedures that have been developed for all kinds of surgery within the abdomen have increased dramatically over the past decade. The attraction of laparos-copy, as opposed to the “open” operational equivalent, to the gynecologist and general surgeon is the reduced trauma of access. Several very small incisions are utilized rather than one large laparotomy incision. There is clear evidence that laparoscopic surgery provides significant benefits compared with laparotomy for patients, providers, and surgeons. Potential benefits for patients include reduced total operative trauma, reduced incidence of major wound and adhesive complications, more rapid convalescence, and a faster return to work or usual activities. The benefits for healthcare providers include shorter hospital stay with consequent hospital costs and social costs. The benefits for surgeons include an almost-closed and no-touch operative approach with reduced risk of infection, better display of anatomy and pathology, more precise removal of diseased tissue, and more accurate tissue repair [1–4]. As with any surgical procedure, the laparoscopic approach is associated with complications, which must be offset against the expected clinical benefits. The larger medical and surgical community is still evaluating the safety and effectiveness of these laparoscopic procedures in comparison to the traditional open surgical procedures [2,5–7].

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Author information

Authors and Affiliations

  1. Minimal Access Surgery, University of Hull and Castle Hill Hospital, Cottingham, UK

    Savita Lalchandani MRCOG, MRCPI (Obst/Gynae) (Clinical Research Fellow)

  2. Castle Hill Hospital, Cottingham, UK

    Kevin Phillips MRCOG (Consultant Obstetrician and Gynaecologist)

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  1. Savita Lalchandani MRCOG, MRCPI (Obst/Gynae)
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  2. Kevin Phillips MRCOG
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Editors and Affiliations

  1. The Merit Centre Bradford Royal Infirmary Bradford, West Yorkshire, UK

    Peter O’Donovan MB, FRCOG, FRCS(ENG)

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Lalchandani, S., Phillips, K. (2008). Laparoscopic Entry Techniques: Consensus. In: O’Donovan, P. (eds) Complications in Gynecological Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-883-8_3

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  • DOI: https://doi.org/10.1007/978-1-84628-883-8_3

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