MINIMALLY INVASIVE SURGERY Figure 1. Flow Diagram of Literature Search Results
versus closed technique, trocar insertion, natural orifice tech- nique, single-incision laparoscopic surgery) and anesthesia techniques (eg, goal-directed fluid therapy), endoclip migra- tion, future product development and applications, equip- ment prototypes, enhanced recovery after surgery, dental navigation-guided surgery, and gastrointestinal endoscopy procedures also were excluded (Figure 1). Articles identified in the search were provided to the project
team for evaluation. The team consisted of the lead author and four evidence appraisers. The lead author divided the search results into topics and assigned members of the team to review and critically appraise each article using the AORN Research or Non-Research Evidence Appraisal Tools as appropriate. The literature was independently evaluated and appraised according to the strength and quality of the evidence. Each article was then assigned an appraisal score. The appraisal score is noted in brackets after each reference as applicable.
542
Each recommendation rating is based on a synthesis of
the collective evidence, a benefit-harm assessment, and con- sideration of resource use. The strength of the recommen- dation was determined using the AORN Evidence Rating Model and the quality and consistency of the evidence sup- porting a recommendation. The recommendation strength rating is noted in brackets after each recommendation.
Editor’s note: MEDLINE is a registered trademark of the US
National Library of Medicine’s Medical Literature Analysis and Retrieval System, Bethesda, MD. CINAHL, Cumulative Index to Nursing and Allied Health Literature, is a registered trademark of EBSCO Industries, Birmingham, AL. Scopus is a registered trade- mark of Elsevier B.V., Amsterdam, The Netherlands.
