While laparoscopy (key-hole surgery) has been an enormous advance from open laparotomy (big incisions), recent development in microfibres and lenses have seen the creation of even tinier laparoscopes measuring two to four millimeters which are known as micro and mini laparoscopes, respectively. At the same time, small ball laparoscopic instruments have been produced (KOH Ultramicro instruments) and others so that the total laparoscopic procedure can be performed with incisions of two to four millimeters. Conventional laparoscopy uses a 10 mm umbilical incision for the laparoscope and 5 mm to 10 mm incisions elsewhere. Because of the small diameter of the micro and mini laparoscopes, under suitable circumstances surgeries may be performed without general anesthesia.
At the Reproductive Center the micro and mini laparoscope are used for the following situations:
The Center recently pioneered the world's first total laparoscopic hysterectomy with mini laparoscopic instrumentation of 4 and 3 mm. Also, the world's first laparoscopic microsurgical anastomosis using 4-mm laparoscope and 3 mm microinstruments was performed in 1996 with the achievement of a live baby nine months later.