Design: Video presentation

Setting: The various clips of video were performed in an operating room with the patient in lithotomy position throughout the surgery.

Patients or Participants: Two patients that remained anonymous were included in this study.

Interventions: Usage of alternatives for laparoscopic medical devices in the low resource setting, including gloves as light covers, substitutes for endocatch, alternatives for administration of vasoconstricting agents, option for uterine manipulation, option for suction and irrigation and reusing instruments.

Measurements and Main Results: Procedures presented here completed uneventfully without complications. Postoperative period without complications.

Conclusion:

While laparoscopy can confer the usual benefits of shortening hospital stay and reducing work absences, its use in developing countries can be especially useful as a diagnostic modality where imaging is limited, as well as reducing infection and hemorrhage, which are leading causes of morbidity. The specialized surgical techniques have to be reduced to their simplest form and made available to every surgeon, not time consuming, reliable with a reduced potential of complications and able to be performed with a minimum of instrumentation. Key to success is the appropriate use of the local human and financial resources. Employing these methods resulted in preservation of resources and a reduction in surgical cost without impacting the quality of care for the patient