Epublication WebSurg.com, Feb 2012;12(02). URL: http://websurg.com/doi/lt03enwattiez005
Over the last twenty years gynecologic laparoscopy has not developed as expected, and it is mainly due to the difficulty of the technique, and the amount of time needed to perform it. Laparoscopy was initially criticized because of its technical difficulty and low productivity in comparison with vaginal approaches and laparotomies, but today its benefits include less pain, shorter hospital stay and faster recovery. From a technical standpoint, the benefits of laparoscopy include high definition vision and image magnification, which are of great value if the surgeon understands the technique, masters ergonomics and develops surgical strategies and protocols. Subsequently, a good way to improve one’s skills is to follow continuing education and training programs, and respect the three basic rules of laparoscopy: a good exposure by means of suspension techniques and Trendelenburg position, to achieve good vision and to improve surgical performance; a balanced use of irrigation to prevent anatomical distortion; and concentrate on monitors at all times.