Introduction of a safety checklist for gynecological laparoscopy

Dhammike Silva, Prabath Randombage, Wedisha Gankanda


This study focuses on the importance of a safety checklist for gynecological laparoscopic surgeries. There is no dedicated safety check list for gynecological laparoscopy although several general safety checklists are used in practice. (e.g. WHO safety check list). The aim was to introduce a safety check list dedicated to gynecological laparoscopy. This check list is based on our experience in performing gynecological laparoscopy in a tertiary care centre with a high workload.  This check list is introduced after studying the complications occurring in areas covered by the check list. Present data from 776 cases performed over 4 years at professorial unit in obstetrics and gynecology, university of Sri Jayewardenepura, Colombo South teaching hospital, Kalubowila, Sri Lanka. Mean surgical time and complications associated with patient positioning were assessed. Complications associated with the areas assessed were found to be low. However, it is belief that these can be further reduced by the introduction of a check list specifically designed for gynecological laparoscopy.


Safety checklist, Gynaecological laparoscopy, Gynaecological endoscopy

Full Text:



Hayashi H, Ozaki N, Ogawa K, Ikuta Y, Tanaka H, Ogata K et al. Assessing the economic advantage of laparoscopic vs. open approaches for colorectal cancer by a propensity score matching analysis. Surg Today. 2018;48(4):439-48.

Song JB, Vemana G, Mobley JM, Bhayani SB. The second “time-out”: a surgical safety checklist for lengthy robotic surgeries. Patient Saf Surg. 2013;7(1):19.

Tomassetti C, Meuleman C, Vanacker B, D’Hooghe T. Lower limb compartment syndrome as a complication of laparoscopic laser surgery for severe endometriosis. Fertil Steril. 2009;92(6):2038.e9-12.

Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia-A closed claims analysis. Anesthesiol J Am Soc Anesthesiol. 1999;90(4):1062-9.

Singh SS, Condous G, Lam A. Primer on risk management for the gynaecological laparoscopist. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):675-90.

Solsky I, Berry W, Edmondson L, Lagoo J, Baugh J, Blair A et al. World Health Organization Surgical Safety Checklist Modification: Do Changes Emphasize Communication and Teamwork? J Surg Res. 2020;246:614-22.

Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiol. 2019;131(2):420-5.

Buzink SN, van Lier L, de Hingh IHJT, Jakimowicz JJ. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. Surg Endosc. 2010;24(8):1990-5.

Connor SJ, Perry W, Nathanson L, Hugh TB, Hugh TJ. Using a standardized method for laparoscopic cholecystectomy to create a concept operation-specific checklist. HPB. 2014;16(5):422-9.

Verdaasdonk EGG, Stassen LPS, Hoffmann WF, van der Elst M, Dankelman J. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43.