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Current trends in minilaparoscopy

Small Layne, Alyssa; Pinkard, Lauren; Shepherd, Jessica

Current Opinion in Obstetrics and Gynecology: August 2016 - Volume 28 - Issue 4 - p 255–260
doi: 10.1097/GCO.0000000000000290
MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff

Purpose of review The purpose of this review is to understand the current use of minilaparoscopy in the field and how minilaparoscopy compares with traditional laparoscopy in terms of operative times, complications, pain, and cosmesis.

Recent findings Although there are few randomized controlled trials comparing minilaparoscopy with traditional laparoscopy in gynecologic procedures, the results suggest that minilaparoscopy can be performed safely with improved cosmetic outcomes and similar complication rates and operating times. Postoperative pain may be decreased with minimizing incisions sizes. Recently, case reports and case series have been published demonstrating the use of minilaparoscopy across many subtypes of gynecologic surgery.

Summary Traditional laparoscopic surgery has become common practice in gynecology as it has been found to be a well tolerated procedure with improved outcomes and decreased morbidity when compared with laparotomy. Although minilaparoscopy has been used for over 2 decades, its role in gynecology is continuing to evolve. Minilaparoscopy is a growing surgical option in gynecology as we try to minimize the impact of surgery. Results of minilaparoscopy in gynecology mirror those found in urology and general surgery. Although research is limited, minilaparoscopy has proven to be a well tolerated alternative for gynecology.

Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois, USA

Correspondence to Jessica Shepherd, University of Illinois at Chicago, Department of Obstetrics and Gynecology, 820 S. Wood Street, M/C 808, Chicago, IL 60612, USA. Tel: +1 312 996 7430; e-mail: Jamcanjess@yahoo.com

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