Abstract
Improvement of instruments has made mini-laparoscopy a prominence option in minimally invasive surgery nowadays. Second generation instruments are sturdier enabling better grasping and traction than before. Sufficient light and high-quality images, as good as 10-mm telescopes provide, can be obtained through smaller telescopes. Reduction in diameter of telescopes makes it possible for the surgeon to utilize all ports. In this video article we demonstrated that more delicate dissection of the tissues is manageable with mini- and micro-laparoscopy even in advanced stage endometriosis. We have also illustrated the configuration of ancillary ports in our technique. The lower quadrant trocars are placed to the points that are marked on ASIS before insufflation, and suprapubic entries are not preferred. Carrying scars more lateral supports the cosmetic outcome. We indicated that mini-laparoscopy in combination with micro-laparoscopic instruments is a feasible and reliable approach in difficult hysterectomies.
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