Recommendations for this procedure have been updated and will be available on this website later in 2019
Knowledge Key:
Arguments against Arguments againste
Arguments for Arguments for
Prospect Recommendation Prospect Recommendation
Clinical Practice Clinical Practice
Transferable Evidence Transferable Evidence
Procedure Specific Evidence Procedure Specific Evidence

Topics for future research

Expand all

In certain circumstances, recommendations for a type of treatment cannot be made due to limited or conflicting evidence. Areas which have been identified as requiring further investigation in the future are listed

TOPICS FOR FUTURE RESEARCH

In certain circumstances, recommendations for a type of treatment cannot be made due to limited or conflicting evidence. Areas which have been identified as requiring further investigation in the future are as follows: 

  • Time of drug administration, e.g.:
    • pre- versus post-incisional administration of various agents, such as conventional NSAIDs, COX-2-selective inhibitors, paracetamol
    • IP LA instillation at the start of surgery versus administration at the end of surgery
  • IV LA infusion
  • Alpha-2-adrenergic receptor agonists
  • Dextromethorphan
  • Ketamine
  • Interpleural local anaesthetic
  • Intra-operative fluid management
  • Postoperative PCA IP local anaesthetic
  • Humidified and/or warmed pneumoperitoneum
  • Nitrous oxide pneumoperitoneum
  • Total size of trocar incision
  • Radially expanding trocars
  • Surgeon’s position
  • Subhepatic drains
  • Aspiration of the pneumoperitoneum gas