Courtney, Alona;
Clymo, Jonathon;
Dorudi, Yasmin;
Moonesinghe, Suneetha Ramani;
Dorudi, Sina;
(2024)
Scoping review: the terminology used to describe major abdominal surgical procedures.
World Journal of Surgery
(In press).
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Abstract
Background: Major abdominal surgery (MAS) can have a profound impact on the patient but there is currently no consensus as to which surgical procedures constitute MAS. The main objective of this work is to ascertain the terminology used to describe MAS procedures and to apply these findings in order to propose a definition of MAS. Methods: The following databases were searched: Ovid MEDLINE (R) ALL, Embase Classic and Emabase (via OvidSP), Global Health (via OvidSP), Health Management Information Consortium (via OvidSP), APA PsycInfo (via OvidSP), PubMed and Web of Science. Original research articles, published between 1980 and 26th April 2022, that contained a description of MAS procedure were included in this study. Article screening and data extraction was undertaken independently by 3 authors. Content analysis was performed to identify key terminology used to describe MAS. Results: 5663 articles were identified, of which 767 underwent full-text review and 312 were included in the scoping review. Content analysis resulted in 4 main categories: 1) pre-operative factors, 2) intra-operative factors, 3) operation-related factors, 4) post-operative factors. Operation-related factors was the predominant category (1137 references coded). The gastrointestinal resection made the vast majority of the references coded (591). Conclusions: Based on these results, the term ‘major abdominal surgery’ should be defined as an intra-peritoneal operation with no primary involvement of the thorax, involving either luminal resection and/or resection of a solid organ associated with the gastrointestinal tract. However, further work is required to verify this definition using real world data.
| Type: | Article |
|---|---|
| Title: | Scoping review: the terminology used to describe major abdominal surgical procedures |
| Publisher version: | https://link.springer.com/journal/268 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10185271 |
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