Abstract
Today, many procedures that previously required a laparotomy can now be carried out by laparoscopy. The benefits of minimal access surgery have been well recorded; they include less postoperative morbidity, shorter duration of hospital stay and a faster return to work. It is the advances in technology, specifically in fibre optics and camera arrays, that has made the relatively recent rapid progress in laparoscopic surgery possible. Operative laparoscopy, however, requires a high degree of technical skill and training. It is as a result of this that the transition from laparotomy to laparoscopy has been slow. The Royal College of Obstetrician and Gynaecologist published, in June 1994, a report on training in endoscopic surgery; this is currently being reviewed. The new recommendations will set out a common level of competence that all gynaecologists should be trained, as well as outlining the procedures that will require additional training and accreditation.
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