Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic access: complications, technologies, and techniques.

Malcolm G Munro1

  • 1Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. mgmunro@aol.com

Current Opinion in Obstetrics & Gynecology
|August 2, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Letter to the editor: Anovulatory bleeding and the spectrum of bleeding disorders: Understanding heavy menstrual bleeding in adolescents.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2026
Same author

Appraisal of international, patient-facing resources on heavy menstrual bleeding.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2026
Same author

The effects of endometrial polyps, leiomyomas, adenomyosis, and endometriosis on endometrial receptivity: phenotype, molecular pathways, and clinical implications.

Current opinion in obstetrics & gynecology·2026
Same author

Endometrial Polyps.

Obstetrics and gynecology·2026
Same author

The epidemiology and pathogenesis of uterine fibroids.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2025
Same author

Understanding Acute Heavy Menstrual Bleeding: Insights From an Interdisciplinary Panel.

O&G open·2025

Laparoscopic access systems and techniques can cause patient harm. Newer devices and modified insertion methods may reduce the incidence of these serious complications.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Patient Safety

Background:

  • Laparoscopic access systems typically involve a cannula and a sharp trocar for abdominal entry.
  • Current methods are associated with significant patient morbidity, including visceral and vascular injury, and incision-related issues like hernias.

Purpose of the Study:

  • To review laparoscopic access systems and insertion techniques.
  • To assess the risks of complications associated with their use.

Main Methods:

  • Review of existing literature on laparoscopic access devices and techniques.
  • Analysis of reported complications and alternative approaches.

Main Results:

  • Traditional laparoscopic access methods contribute to patient morbidity via visceral/vascular injury and incision complications.

Related Experiment Videos

  • Alternative techniques, such as minilaparotomy before cannula insertion, may reduce vascular injury, though visceral injury can persist.
  • Newer blunt-tipped devices show promise in reducing injury risk and minimizing abdominal wall defects.
  • Port site metastasis is a recognized complication in oncological surgery, requiring further investigation.

    • Conclusions:

    • The frequency and types of access-related complications are underestimated.
    • Innovations in devices and surgical techniques offer potential to decrease adverse events during laparoscopic procedures.