Topics of Interest

Question on “mini” laparoscopic surgery


I have a fibroid that is uncomfortable due to bulk and extends length of menstruation (7-9 days at least).  I recently saw a fertility specialist who did an exam and recommended a “mini” laparoscopy to remove the fibroid. The doctor said the “mini-lap” would involve a three inch (approx) incision at the bikini line.

Can you explain the difference between the mini-lap and regular laparoscopy?  Including the typical size of a bikini line incision (if one is involved)?

Thank you in advance.



A mini-lap is the term used for mini-laparotomy. As you describe, a mini-laparotomy involves a 2-3 inch incision above the pubic bone and uses standard surgical instruments and technique. Laparoscopy uses 3 or 4 much smaller incisions (1/2 inch each) and uses long instruments passed through these incisions to perform the surgery, which is viewed on a large video monitor. See the illustrations here: compared to here:

I hope this is helpful,
Bill Parker, MD


Disclaimer: The ideas, procedures and suggestions contained on this web site are not intended as a substitute for consulting with your physician. All matters regarding your health require medical supervision.

Fibroid Doctor William H. Parker

Dr. William H. Parker is a board-certified Fellow in the American College of Obstetricians and Gynecologists. Dr. Parker is an internationally recognized expert in fibroid surgery and research. Based in San Diego, California, he is considered one of the best fibroid surgeons for abdominal and laparoscopic myomectomy in the United States and abroad. He has been chosen for Best Doctors in America and Top Doctors every year beginning in the late 90's.

Free Email Updates

Powered by Google FeedBurner : Receive free updates right to your inbox every time new content is added to this website.

Schedule an Appointment Today!
Read Dr. Parker's Blog

Blog Categories