Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5691636 | European Journal of Obstetrics & Gynecology and Reproductive Biology | 2017 | 7 Pages |
Abstract
Introduction of laparoscopic niche repair matches Idea (1) and Development (2a), according to the stages of IDEAL framework, although most studies are retrospective and complications have not been registered structurally in a considerable number of the articles. As feasibility and safety have been more or less established and surgery has been further developed we enter stage 2b (Exploration) and need prospective trials preferably comparing the effectiveness of laparoscopic niche repair to expectant management, the current standard care. Available studies were classified with the use of the IDEAL framework, achieving an overall IDEAL stage to be 2a Development. As clinical outcomes, though poorly registered, have been substantially improved, laparoscopic niche repair needs to be carried forward by more advanced study designs.
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Authors
C. Nikkels, Anke J.M.W. Vervoort, Ben Willem Mol, Wouter J.K. Hehenkamp, Judith A.F. Huirne, Hans A.M. Brölmann,