1. Responsibility: • More than 4000 laparoscopic surgeries which include Appendicectomies, Cholecystectomies,Iinguinal henias, Diagnostic laparoscopies, Peptic perforation, Hysterectomies, Varicocele surgery

2. It is expected that the frequency of hysterectomies for non-malignant indications will fall as there are good alternatives in many cases.

3. This is still a controversial subject since studies have shown negative results of the association of morphine and ketamine for PCA in hysterectomies 63 , arthroscopies 64, Appendicectomies 65

4. ‘The most common abdominal operation performed on an emergency basis is the Appendectomy, which is performed more than 250,000 times annually in the United States.’ ‘If a patient keeps going back to a specialist, particularly a surgeon, then hysterectomies, appendectomies and gall bladder operations are carried out unnecessarily.’