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Introduction to minimal access surgery

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Minimal access surgery (MAS) is not a subspecialty per se, but rather provides the tools that can be applied in many areas of gynaecology as an alternative to traditional techniques. As expertise and instrument design improves, so the applications have increased such that almost every area of gynaecological surgery has an MAS alternative.

This tutorial will concentrate on laparoscopic surgery, as hysteroscopic surgery is covered in detail in another tutorial.

Learning objectives

When you have completed this tutorial you will be able to:

  • select patients for laparoscopic surgery
  • be familiar with the equipment and instruments for laparoscopic surgery
  • understand safety in laparoscopic surgery, including entry techniques and energy sources
  • understand operative steps for common laparoscopic procedures such as ovarian cystectomy and treatment of ectopic pregnancy
  • understand techniques for specimen retrieval, adhesion prevention and port closure

Last updated: 07/10/10 (Tutorial was reviewed and updated by Dr Wendy Noble)

22/10/09 (Images showing a Answer to the potential complications of electrosurgery essay question, the Direct insertion and Secondary ports assessment replaced with new, higher quality versions)

1/07/09 (WHO surgery checklist added in 'Preliminary reading').

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