Barriers and facilitators to implementing laparoscopic surgery in low- and middle-income countries: a systematic review using the consolidated framework for implementation research - Takeaways - 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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  • 1

    Approximately 5 billion people lack access to safe, affordable surgical and anaesthesia care, and the shortfall is concentrated in low- and middle-income countries.

  • 2

    Laparoscopy may reduce postoperative morbidity, pain, infection, and hospital stay compared with open surgery, but uptake in low- and middle-income countries remains inconsistent.

  • 3

    The review used the Consolidated Framework for Implementation Research to organize barriers and facilitators across five domains of implementation.

  • 4

    The systematic review followed PRISMA 2020 guidance and searched five databases, Google Scholar, and reference lists for English-language studies published from 1996 to 2024.

  • 5

    Eligible studies reported primary empirical findings on laparoscopic surgery implementation in low- and middle-income countries, and methodological quality was assessed with the 2018 Mixed-Methods App

Original Source(s)

Barriers and facilitators to implementing laparoscopic surgery in low- and middle-income countries: a systematic review using 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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