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Principles and strategies for dealing with complications in laparoscopy

Lam, Alan; Khong, Su-Yen; Bignardi, Tommaso

Current Opinion in Obstetrics and Gynecology: August 2010 - Volume 22 - Issue 4 - p 315–319
doi: 10.1097/GCO.0b013e32833bea41
Minimally invasive gynecologic procedures: Edited by Colin J. Davis

Purpose of review To help surgeons and to make patients become fully aware of the risks of laparoscopic surgery. As complications are an inevitable reality of surgery, we need to be aware of the types of complications in a systematic way, train to respond in an appropriate way, and learn to communicate in a transparent and honest way to deal with complications in laparoscopic surgery.

Recent findings This article aims to classify complications associated with laparoscopy according to the different phases in surgery and to promote a comprehensive strategy for dealing with them.

Summary To promote a culture of risk management which delivers the benefits and minimizes the risks associated with laparoscopic surgery.

Centre for Advanced Reproductive Endosurgery (CARE), Royal North Shore Hospital, University of Sydney, Sydney, Australia

Correspondence to Associate Professor Alan Lam, Centre for Advanced Reproductive Endosurgery (CARE), AMA House, Suite 408, Level 4, 69 Christie Street, St Leonards, 2065 NSW, Australia Tel: +61 2 99669121; fax: +61 2 99669126; e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.