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As operative laparoscopy becomes more widely accepted, new techniques are being developed and more surgeons are utilizing this type of surgery in practice. Naturally, complication rates are also expected to rise.

Compounding Problems: • Embarrassment leads to silence • Time constraints lead to inadequate attention • Knowledge limits lead to patients accepting • Technology limits lead to inadequate investigation • Resource limits lead to inadequate access

In this educational tutorial, a patient had a diagnostic laparoscopy done by an inexperienced laparoscopist. When the patient presented, she had multiple sinuses around the umbilicus and was taking antibiotics without any benefit.