Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

699 questions · 719 findings · 69 reviews

No studies found 129 · 17.9%GRADE not reported 15 · 2.1%Very low 317 · 44.1%Low 170 · 23.6%Moderate 78 · 10.8%High 10 · 1.4%

Summary of findings table ‐ Intraperitoneal local anaesthetic vs control

Proportion discharged as day surgery · people undergoing laparoscopic cholecystectomy.

It is very uncertain whether summary of findings table ‐ Intraperitoneal local anaesthetic changes proportion discharged as day surgery compared with control (very low certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Solid organ injury · patients undergoing laparoscopic surgery

It is very uncertain whether direct trocar entry changes solid organ injury compared with veress needle entry (very low certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Failed entry · patients undergoing laparoscopic surgery

Direct trocar entry probably leads to lower failed entry compared with veress needle entry (moderate certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Vascular injury (major vessels and abdominal wall vessels) · patients undergoing laparoscopic surgery

It is very uncertain whether direct trocar entry changes vascular injury (major vessels and abdominal wall vessels) compared with veress needle entry (very low certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Visceral injury (bladder or bowel) · patients undergoing laparoscopic surgery

It is very uncertain whether direct trocar entry changes visceral injury (bladder or bowel) compared with veress needle entry (very low certainty).

1 finding from 1 review

Specific technique vs standard techniques

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Specific technique showed no clear difference in incidence of STP at 24 hours post‐operatively compared with standard technique (low certainty).

1 finding from 1 review

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Subdiaphragmatic intraperitoneal local anaesthetic showed no clear difference in incidence of STP at 24 hours post‐operatively compared with control (moderate certainty).

1 finding from 1 review

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Incidence of STP within 4‐8 hours post‐operatively · women undergoing gynaecological laparoscopic procedures

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) may leads to lower incidence of STP within 4‐8 hours post‐operatively compared with control (low certainty).

1 finding from 1 review