In a preliminary study the principles of standard gynaecological surge
ry, new operative laparoscopic techniques and mechanical elevation of
the abdominal wall are combined. These early results indicate an advan
tage to both patient and hospitals from this approach. Further studies
are required to verify our impressions that minilaparotomy combined w
ith no insufflation laparoendoscopy will open up the concept of operat
ive laparoscopic surgery to most gynaecologists.