http://www.laparoscopyhospital.com - Operations completed using the minimal access approach ought to be of the same quality his or her conventional open counterpart. It should be emphasised that the difference between minimal access surgery and open surgery is the extent of the access as indicated by the name of the technique. Minimal access surgery mustn't compromise patient safety. There are several factors which influence using minimal access surgery: Safety of the access to body cavity With previous abdominal surgery, there's a risk of bowel injury because of adhesions. The technique and the site of induction of pneumoperitoneum needs to be modified in patients with previous surgery. Laparoscopy is contraindicated in patients having a good reputation for previous extensive abdominal surgery.