Evidence-based implementation of minimally invasive surgery

Author(s):
Chapelle, C.F. La
Published
2017
Publication type
Doctoral Thesis

Abstract

The current thesis explores the evidence base of new

techniques in minimally invasive surgery.

For this purpose the main objectives of this thesis are: • To present a multidisciplinary evidence based guideline for MIS including the main topics in laparoscopic surgery; • To identify the evidence of three new minimally invasive techniques: trocar types for laparoscopy, LESS-hysterectomy and hysteroscopic sterilization; • To evaluate the course of introduction of a new minimally invasive technique (robot-assisted surgery) and the status of the evidence; • To assess whether recent RCTs serve the clinical needs of the MIS approach. Providing the answers to these questions, this thesis provides insight in the evidence of MIS and its limitations. Therewith, it provides guidance to optimize research and evidence based implementation of MIS towards better minimally invasive surgical care.

Minimally invasive surgeryInnovationGynaecologyLaparoscopyEvidence-basedEvidence-based medicine
Defense date
2017-12-20
Language
English
Supervisor(s)
Jansen, F.W.; Mol, B.W.M.
Committee member(s)
Oepkes, D.; Bongers, M.Y.; Radder, C.A.
Qualification
Ph.D.
Degree granting institution
Medicine, Leiden University Medical Center (LUMC), Leiden University, Leiden
hdl
1887/57234
ISBN(s)
9789462957992

Funding

Sponsorship
Nederlandse Vereniging voor Obstetrie en Gynaecologie, Nederlandse Vereniging voor endoscopische Chirurgie, ChipSoft, Erbe Nederland BV, Walaeus bibliotheek, Kennisinstituut van de Federatie Medisch Specialisten, Raad van Bestuur Medisch Centrum Haaglanden, AFdeling gynaecologie LUMC.