A consensus-based core feature set for surgical complexity at laparoscopic hysterectomy

Development of a core descriptor set for Crohn's anal fistula

“…There was a drop-out in participation over the study, mostly between rounds one and two. This rate and pattern of drop-out broadly matches that seen in other Delphi studies [22,23]. This does introduce the risk of an attrition/selection bias into the dataset.…”

“…This study has several strengths. It followed recommendations set out for the development of COSs [8], and mirrored standards for defining disease [22], which are comparable to this study design. In addition, the methodology was validated by PCA to define the structure and theories underlying participant rating behaviour.…”

The role of minimally invasive gynecologic surgeons in the era of subspecialties: when to refer and consult

“…Prior surgeries and their sequelae have also been implicated in the complexity of performing laparoscopic hysterectomies. Adhesions from prior surgery that take in excess of 45 min, are deemed by the surgeon as difficult, or patients with specifically three or more prior laparotomies with suspicion for adhesions are noted to present particular challenges to MIGS [46][47][48]. Note that even one laparotomy may warrant an advanced skill set for abdominal entry based on suspicion for adhesions.…”

“…An enhanced recovery after surgery (ERAS) and surgical optimization protocol for MIGS was published in order to better aid surgeons in preparing patients for surgery and mobilizing them for return to daily living [49]. Their impact has crossed disciplines into other gynecologic subspecialties as well [45][46][47][48][49][50][51]. The AAGL has also published multiple trials to formalize upcoming written assessments of gynecologic surgeons [52][53].…”