Within a period of 5 months a serious of 42 small diameter laparoscopi
es (2 mm) (SDL) were performed with a modified technical approach. 28
(SDL). Procedures were done under general anaesthesia the findings wer
e controlled by concurrent conventional laparoscopy. In 26 out of 28 p
atients we could confirm the SDL diagnosis. 14 patients had SDL in ana
lgosedation. Optical information gained by SDL was sufficient and, as
experience in handling the system increased, also competitive. The pro
cedures performed in analgosedation were tolerated and highly apprecia
ted (reduced incisional pains, reduced complaints due to pneumoperiton
eum). SDL procedures seem to have possible indications in gynaecology.