Hand-assist laparoscopic surgery for the gynecologic surgeon.

BackgroundHand assist laparoscopy (HALS) is a minimally invasive technique which allows for the placement of the surgeon's non-dominant hand through a hand-port device while maintaining pneumoperitoneum. There is no standardization of this procedure and it is rarely used in gynecology.MethodsThe multidisciplinary team of authors, with experience in minimally invasive pelvic surgery, has developed a practical approach performing HALS over several years. Here we present our technique.ConclusionsThere are several roles for HALS in the world of gynecology and pelvic surgery. Further experience will help improve upon a standard technique.