With a detailed knowledge of pelvic anatomy, familiarity with the many lapa
roscopic instruments, and attention to the details of good technique, many
of the complications of laparoscopy described in this article can be avoide
d. The information presented complements that in the other articles in this
issue and briefly summarizes many salient lessons already published in oth
er excellent texts. The focus is on the most common laparoscopic complicati
ons, namely, those associated with insufflation and trocar insertion, such
as vascular injury and bowel perforation. Other complications that may aris
e during adhesiolysis, removal of and bleeding from an ectopic pregnancy, a
nd specimen removal from the abdomen are also discussed.