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Table 1 Table summarizing the conclusions of available international guidelines [6, 10]. The quality of evidence assessment and classification of recommendations originate from the Canadian Task Force on Preventive Health Care [21]. The key to the evidence statements and grading of recommendations is shown below

From: Role of prophylactic antibiotics in endoscopic gynaecological surgery; a consensus proposal

Endoscopic procedure

Antibiotic prophylaxis

Level of evidence

Laparoscopic hysterectomy (total/subtotal/laparoscopically assisted vaginal hysterectomy)

Recommended

III-B

Laparoscopic procedures with no breach to the uterine cavity or vagina

Not recommended

I-E

Hysteroscopic surgery

Not recommended

II-2D

  1. I—Evidence obtained from at least one properly randomized controlled trial. II-1—Evidence from well-designed controlled trials without randomization. II-2—Evidence from well-designed cohort (prospective or retrospective) or case–control studies, preferably from more than one centre or research group recommendation for or against use of the clinical preventive action; however, other factors may influence decision-making. II-3—Evidence obtained from comparisons between times or places with or without the intervention. Dramatic results in uncontrolled experiments (such as the results of treatment with penicillin in the 1940s) could also be included in this category. III—Opinions of respected authorities, based on clinical experience, descriptive studies or reports of expert committees. A—There is good evidence to recommend the clinical preventive action. B—There is fair evidence to recommend the clinical preventive action. C—The existing evidence is conflicting and does not allow to make a recommendation for or against use of the clinical preventive action; however, other factors may influence decision-making. D—There is fair evidence to recommend against the clinical preventive action. E—There is good evidence to recommend against the clinical preventive action. L—There is insufficient evidence (in quantity or quality) to make a recommendation; however, other factors may influence decision-making