A Review of Literature regarding Medico-legal Aspects in Gynaecologic Endoscopy: Do Patients’ Demands and Doctors’ Services Meet?

The endoscopic surgery, despite its very sophisticated aspect and appearance of advanced technology, is still another way of doing surgery. The patients and sometimes even specialists are tempted to promote the technique as “safe” and “almost non-invasive”, disregarding the minor pitfalls and complications related to it. In gynaecology, this aspect is even more frequent as the pre-concept of “minor surgery” imposed to some interventions from this specialty find a favourable psychology in some women. Training and certification on gynaecological endoscopic surgery will play a pivotal role in the near future of medico-legal problems. Surgeons who underwent a recognizable education and testing, defending their position for a mistake have a strong argumentation that were eligible and able to perform a complicated operation. Whether Gynaecological Societies like the European Society for gynaecologic Endoscopy (ESGE) and the European Society for Human Reproduction and Embriology (ESHRE) will be called to the court to defend and justify their certified surgeon members’ abilities and performance is debatable. We analyze data of the literature, and make some considerations which unveil the miscommunication that should be focused by the gynaecologist in approaching this domain.