Minilaparoscopy is a new addition in laparoscopic surgery which aims at reducing preoperative sickness during surgery. Moreover, it also helps in improving cosmesis. Recent advancements in optical procedures and instrument design have resulted into the incorporation of diagnostic and therapeutic procedures in the applications of Minilaparoscopy.

According to various researches conducted on its effectiveness, it has been found that results out of Minilaparoscopic procedures done by experienced laparoscopic surgeons are similarly effective and safe with minimally perceptive scarring. The most challenging advantages such as reduced preoperative pain and morbidity are yet to be ascertained.

Due to the mixture of established 5 mm coagulation instruments with 3 mm forceps and scissors, smallest access could be coupled with excellent preparation and effective homeostasis. Along with an umbilical 6 mm trocar, a second 6 mm suprapubic trocar can be used, that allows the use of a bipolar RoBi® forceps or the GORDTS and CAMPO bipolar suction and irrigation electrode with 5 mm of outer diameter.

Moreover, it makes possible a change of the 5 mm telescope in the umbilical to the suprapubic access in case of different adhesions. The two lateral 3.5 mm trocars enable while using small 3 mm instruments, leaving only hardly visible scars to the patient. The recent advancements in telescope design and video imaging have enabled the use of smaller laparoscopes, while restricting the amount of light regression within the system. As a result, the durability and quality of small diameter optics has improved considerably.

During minilaparoscopy, extremely less pain was experienced while touching ovary, omentum, and bowel. Moreover, minilaparoscopy is found to be a safe and correct method to study critically ill patients in whom the chances of mesenteric ischemia or other intra-abdominal are possible.