Laparoscopic techniques

doi:10.1017/CBO9780511527036.013

12 - Laparoscopic techniques

from Part II - Management of developmental abnormalities of the genital tract

Published online by Cambridge University Press: 04 May 2010

Azad S. Najmaldin and

Edited by

Jane MacDougall and

Azad S. Najmaldin: Affiliation:
St James University Hospital, Leeds, UK
Alfred Cutner: Affiliation:
Elizabeth Garrett Anderson Hospital, London, UK
Adam H. Balen: Affiliation:
Leeds Teaching Hospitals, University Trust
Sarah M. Creighton: Affiliation:
University College London Hospitals
Melanie C. Davies: Affiliation:
University College London
Jane MacDougall: Affiliation:
Addenbrooke's Hospital, Cambridge
Richard Stanhope: Affiliation:
Great Ormond Street Hospital

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Summary

Introduction

The first gynaecological reports for laparoscopy came from Hope in 1937 (Hope, 1937) on the diagnosis of extrauterine pregnancy but it was not until the 1970s that laparoscopic surgery started to become established (Semm, 1970). The introduction of good-resolution camera systems and the development of new surgical instruments have enabled the advancement of laparoscopic surgery. In addition, advances in technology have increased the safety parameters and enabled surgery to be performed more efficiently. These technological developments include the expansion of bipolar technology and the introduction of laser modalities, the harmonic scalpel and haemostatic stapling devices.

Originally laparoscopic surgery was referred to as minimally invasive surgery but it soon became apparent that the surgery was highly invasive but performed through small incisions, and hence the term minimal access surgery was coined. Minimal access surgery can be considered as an alternative procedure to the traditional operation; it aims to achieve the same end result as the traditional operation but is performed through small incisions. In hysteroscopic surgery, most laparoscopic procedures should aim to emulate the open operation, the only difference being the size of the incision. However, there may be modifications in the minimal access route as a result of the improved vision that it affords or the difficulty in emulating the open procedure. The perceived disadvantages of the laparoscopic route over the open route are the potential complications, the time to perform the operation and the cost.

Information

Type: Chapter
Information: Paediatric and Adolescent Gynaecology
A Multidisciplinary Approach
, pp. 131 - 146

DOI: https://doi.org/10.1017/CBO9780511527036.013 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2004

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