Laparoscopic hysterectomy for benign indications: clinical practice guideline.

Autor: Sandberg EM; Section Minimally Invasive Gynecologic Surgery, Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands., Hehenkamp WJK; Department of Gynecology, VU University Medical Center, Amsterdam, The Netherlands., Geomini PM; Department of Gynecology, Maxima Medical Center, Veldhoven, The Netherlands., Janssen PF; Department of Gynecology, Elisabeth-Twee Steden Hospital, Tilburg, The Netherlands., Jansen FW; Section Minimally Invasive Gynecologic Surgery, Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.; Department of Bio Mechanical Engineering, Delft University of Technology, Delft, The Netherlands., Twijnstra ARH; Section Minimally Invasive Gynecologic Surgery, Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands. a.r.h.twijnstra@lumc.nl.
Jazyk: angličtina
Zdroj: Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2017 Sep; Vol. 296 (3), pp. 597-606. Date of Electronic Publication: 2017 Jul 26.
DOI: 10.1007/s00404-017-4467-9
Abstrakt: Purpose: Since the introduction of minimally invasive gynecologic surgery, the percentage of advanced laparoscopic procedures has greatly increased worldwide. It seems therefore, timely to standardize laparoscopic gynecologic care according to the principles of evidence-based medicine. With this goal in mind-the Dutch Society of Gynecological Endoscopic Surgery initiated in The Netherlands the development of a national guideline for laparoscopic hysterectomy (LH). This present article provides a summary of the main recommendations of the guideline.
Methods: This guideline was developed following the Dutch guideline of medical specialists and in accordance with the AGREE II tool. Clinically important issues were firstly defined and translated into research questions. A literature search per topic was then conducted to identify relevant articles. The quality of the evidence of these articles was rated following the GRADE systematic. An expert panel consisting of 18 selected gynecologists was consulted to formulate best practice recommendations for each topic.
Results: Ten topics were considered in this guideline, including amongst others, the different approaches for hysterectomy, advice regarding tissue extraction, pre-operative medical treatment and prevention of ureter injury. This work resulted in the development of a clinical practical guideline of LH with evidence- and expert-based recommendations. The guideline is currently being implemented in The Netherlands.
Conclusion: A guideline for LH was developed. It gives an overview of best clinical practice recommendations. It serves to standardize care, provides guidance for daily practice and aims to guarantee the quality of LH at an (inter)national level.
Databáze: MEDLINE
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