Background Today laparoscopy, or minimally invasive surgery, is used for many surgical and gynaecological conditions which earlier required open surgery.

The use of laparoscopic operations in Norway varies from one gynaecological department to another. The national guide in general gynaecology gives no clear advice on which procedure should be preferred for operations on ovarian cysts or hysterectomy.

Main findings

• Overall the documentation on clinical effectiveness of laparoscopic surgery for benign gynaecological diseases is of low to medium quality.
• The benefits are shorter hospital stay, less pain, fewer infections and faster recovery compared with open surgery.
• The disadvantages are the longer operating time and greater risk of damage to the bladder or urethra.