Barriers and facilitators to implementing laparoscopic surgery in low- and middle-income countries: a systematic review using the consolidated framework for implementation research - Summary - MDSpire
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Factors Hindering and Supporting the Adoption of Laparoscopic Surgery in Low- and Middle-Income Countries: A Systematic Review Guided by the Consolidated Framework for Implementation Research

  • By

  • Ali Yasen Mohamedahmed

  • Mohammed A. Adam

  • Seddig Adam Jebril Saleh

  • Malaz A. E. Dafallah

  • Omar Elfaroug Salim

  • Kayla Bagg

  • Johnelize Louw

  • Tiffany E. Chao

  • Kathryn Chu

  • October 13, 2026

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Objective:

To identify and synthesise factors that hinder or support implementation of laparoscopic surgery in low- and middle-income countries (LMICs), using the Consolidated Framework for Implementation Research (CFIR).

Approach:
  • Design: Systematic review conducted according to PRISMA 2020 and registered within a broader review (PROSPERO CRD42024593992).
  • Search: Searched PubMed, MEDLINE, ScienceDirect, Embase, Scopus, and Google Scholar, and checked reference lists for English-language publications from 1996–2024.
  • Eligibility: Included empirical studies of laparoscopic surgery implementation in World Bank-classified LMICs that reported implementation barriers or facilitators; eligible designs were quantitative, qualitative, or mixed-methods.
  • Quality assessment: The review used the 2018 Mixed-Methods Appraisal Tool (MMAT) to assess methodological quality.
Interpretation:

The provided context describes the review rationale and methods but does not report its results.

Limitations:
  • Only English-language publications were included because resources for reliable full-text translation were unavailable.
Conclusion:

The review was designed to organise implementation determinants across CFIR domains; findings are not included in the supplied context.

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