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Safe laparoscopy: is it possible?

Introduction Laparoscopy is the accepted treatment modality for many gynaecological conditions, offering patients a shorter hospital stay, faster recovery, less need for analgesia and a better cosmetic appearance. Many complications specific to laparoscopy can cause major morbidity and potential mortality. In some cases these complications are avoidable, but more often it is the early recognition and appropriate management of these adverse events that is the key to safe laparoscopy. This review will outline some of the typical complications that are common or significant, explore the reasons that these complications occur, and look at strategies to reduce the risk of these events or minimize their impact should they occur.