Ambulatory Gynaecological Care:
Technological advances in equipment over the last decade have revolutionized the approach to traditional Gynaecological problems requiring surgery. Some 80 to 90% of benign Gynaecological conditions may now be managed by minimal access (small cut) techniques.
The avoidance of big scar (laparotomy) now enables most women to be discharged in under 24 hours and return to normal activities within a week.
The benefits of endoscopic techniques have been widely reported. These include rapid patient recovery, decreased discomfort, less disfigurement, decreased adhesion formation and potential cost savings. The complication rate for operative laparoscopy at least, has been quoted at around 5 per 1000 cases.
Claims in the popular press of major complications associated with these techniques have often arisen as a result of poorly trained surgeons embarking on ambitious procedures early in their "learning curve". Nevertheless, significant complications may still occur in expert hands. Most complications will be recognized intraoperative, however, unrecognized complications, such as bowel injury, may present in the first week following discharge.