The use of the laryngeal mask in gynaecological laparoscopy.

Use of the laryngeal mask airway in gynaecological laparoscopy is controversial, largely because of a concern about increased risk of regurgitation and pulmonary aspiration. The practice of evidence-based medicine provides a recommended strategy to resolve such an issue. We did a literature search and found limited evidence to support or refute the use of the LMA in this setting. We have found, however, that the reported incidence of aspiration or more serious morbidity associated with the use of the LMA in laparoscopic surgery is very low.