Systematic Review of Intraoperative Assessment Tools in Minimally Invasive Gynecologic Surgery

J. Stuart Ferriss, Anja S. Frost, Alison Brooks Heinzman, Rita Tsai, Danielle Patterson, Kristen Patzkowsky, Jaime Blanck, Jessica L. Bienstock

Research output: Contribution to journalReview articlepeer-review


Objective: To collect, summarize, and evaluate the currently available intraoperative rating tools used in abdominal minimally invasive gynecologic surgery (MIGS). Data Sources: Medline, Embase, and Scopus databases from January 1, 2000, to May 12, 2020. Methods of Study Selection: A systematic search strategy was designed and executed. Published studies evaluating an assessment tool in abdominal MIGS cases were included. Studies focused on simulation, reviews, and abstracts without a published manuscript were excluded. Risk of bias and methodological quality were assessed for each study. Tabulation, Integration, and Results: Disparate study methods prevented quantitative synthesis of the data. Ten studies were included in the analysis. The tools were grouped into global (n = 4) and procedure-specific assessments (n = 6). Most studies evaluated small numbers of surgeons and lacked a comparison group to evaluate the effectiveness of the tool. All studies demonstrated content validity and at least 1 dimension of reliability, and 2 have external validity. The intraoperative procedure-specific tools have been more thoroughly evaluated than the global scales. Conclusion: Procedure-specific intraoperative assessment tools for MIGS cases are more thoroughly evaluated than global tools; however, poor-quality studies and borderline reliability limit their use. Well-designed, controlled studies evaluating the effectiveness of intraoperative assessment tools in MIGS are needed.

Original languageEnglish (US)
Pages (from-to)692-697
Number of pages6
JournalJournal of Minimally Invasive Gynecology
Issue number3
StatePublished - Mar 2021


  • MIGS
  • Operative teaching
  • Surgical evaluation

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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