Laparoscopic hysterectomy for benign indications

Laparoscopic hysterectomy for benign indications: clinical practice guideline

Sandberg, Evelien M. (Leiden University Medical Center)
Hehenkamp, Wouter J.K. (Amsterdam UMC)
Geomini, Peggy M. (Maxima Medical Center, Veldhoven)
Janssen, Petra F. (Elisabeth-TweeSteden Hospital)
Jansen, F.W. (TU Delft Medical Instruments & Bio-Inspired Technology; Leiden University Medical Center)
Twijnstra, Andries R.H. (Leiden University Medical Center)

2017

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.

AGREE II tool
Best practice
Clinical practice guideline
GRADE method
Laparoscopic hysterectomy

http://resolver.tudelft.nl/uuid:716142a0-4925-48c6-b53d-9ee8cc02644f

https://doi.org/10.1007/s00404-017-4467-9

0932-0067

Archives of Gynecology and Obstetrics, 296 (3), 597-606

Institutional Repository

journal article

© 2017 Evelien M. Sandberg, Wouter J.K. Hehenkamp, Peggy M. Geomini, Petra F. Janssen, F.W. Jansen, Andries R.H. Twijnstra