Minimally invasive gynecological surgery:advances and new applications

The quest to make minimally invasive surgery ever more `minimal' is pushing the surgical community to constantly explore novel ways of achieving better results. Simplified instrumentation and an ever safer and easier admission of energy sources is the aim of the future. In the hysteroscopic field, this trend will produce a low complication rate of inpatient operative hysteroscopies and an increase of operative procedures carried out in office settings as the simplified technology will guarantee ever more safety and accuracy and expedites performance. In the laparoscopic field, this has given surgeons the challenge to either treat by minimally invasive approach some pathologies previously treated only by conventional surgery and decrease the number of trocars placed throughout the abdominal wall or eliminate them completely. The transition from multiple port access surgery to single port access surgery represents a paradigm shift in reconstructive and extirpative surgery and is a testament to the recent advances in surgical technology