Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2020
Guideline No. 412: Laparoscopic Entry for Gynaecological Surgery.
СтатьяКлинические рекомендацииНазвание и аннотация: Перевод пока не подготовлен
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Vilos George A, Ternamian Artin, Laberge Philippe Y, Vilos Angelos G, Abu-Rafea Basim, Scattolon Sarah, Leyland Nicholas
Аннотация
OBJECTIVE: To evaluate the benefits and risks of laparoscopic surgery and provide clinical direction on entry techniques, technologies, and their associated complications in gynaecological surgery.
TARGET POPULATION: All patients, including pregnant women and women with obesity, undergoing laparoscopic surgery for various gynaecological indications.
OPTIONS: The laparoscopic entry techniques and technologies reviewed in formulating this guideline included the closed (Veress needle-pneumoperitoneum-trocar) technique, direct trocar insertion, open (Hasson) technique, visual entry systems, and disposable shielded and radially expanding trocars.
OUTCOMES: Implementation of this guideline should optimize decision-making in the selection of entry technique for laparoscopic surgery.
EVIDENCE: We searched English-language articles from September 2005 to December 2019 in PubMed/MEDLINE, Embase, Science Direct, Scopus, and Cochrane Library using the following MeSH search terms alone or in combination: laparoscopic entry, laparoscopy access, pneumoperitoneum, Veress needle, open (Hasson), direct trocar, visual entry, shielded trocars, radially expanded trocars, and laparoscopic complications.
VALIDATION METHODS: The authors rated the quality of evidence and strength of recommendations using the Canadian Task Force on Preventive Health Care approach (Appendix A).
INTENDED AUDIENCE: Surgeons performing laparoscopic gynaecological surgery.
SUMMARY STATEMENTS: RECOMMENDATIONS.
TARGET POPULATION: All patients, including pregnant women and women with obesity, undergoing laparoscopic surgery for various gynaecological indications.
OPTIONS: The laparoscopic entry techniques and technologies reviewed in formulating this guideline included the closed (Veress needle-pneumoperitoneum-trocar) technique, direct trocar insertion, open (Hasson) technique, visual entry systems, and disposable shielded and radially expanding trocars.
OUTCOMES: Implementation of this guideline should optimize decision-making in the selection of entry technique for laparoscopic surgery.
EVIDENCE: We searched English-language articles from September 2005 to December 2019 in PubMed/MEDLINE, Embase, Science Direct, Scopus, and Cochrane Library using the following MeSH search terms alone or in combination: laparoscopic entry, laparoscopy access, pneumoperitoneum, Veress needle, open (Hasson), direct trocar, visual entry, shielded trocars, radially expanded trocars, and laparoscopic complications.
VALIDATION METHODS: The authors rated the quality of evidence and strength of recommendations using the Canadian Task Force on Preventive Health Care approach (Appendix A).
INTENDED AUDIENCE: Surgeons performing laparoscopic gynaecological surgery.
SUMMARY STATEMENTS: RECOMMENDATIONS.