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Milad M et al. - Contrary to widespread belief, gynecologic laparoscopy has a rate of major complication similar to, not higher than, that of laparotomy—but it has a higher rate of major vascular injury (MVI), defined as laceration of the aorta, inferior vena cava, or common iliac or external iliac vessels.1 In fact, MVI appears to be somewhat exclusive to laparoscopy.


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