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Article History

Received: 20 December 2023

Accepted: 21 March 2024

First Online: 13 May 2024

Declarations

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: Clinical practice guidelines are intended to indicate the best available approach to medical conditions as established by a systematic review of available data and expert opinion. The approach suggested may not necessarily be the only acceptable approach given the complexity of the healthcare environment. This guideline is intended to be flexible, as the surgeon must always choose the approach best suited to the patient and to the variables at the moment of decision. This guideline is applicable to all physicians who are appropriately credentialed regardless of specialty and address the clinical situation in question. Some studies or treatment options may not be available in certain regions, and as such individual decision-making must be used. This guideline is developed under the auspices of SAGES, the guidelines committee, and approved by the Board of Governors. The recommendations of each guideline undergo multidisciplinary review and are considered valid at the time of production based on the data available.

: Dr. Haskins declared royalties from UpToDate, Inc which is not directly related to this work. Dr. Quinteros declared personal payments from Medtronic, THD America, and Applied Medical. Dr. Slater declared work as a consultant for Hologic and Cook Medical. Drs. Kumar, Collings, Lamm, Scholz, Nepal, Train, Athanasiadis, Pucher, Bradley III, Hanna, and Narula have no conflicts of interest or financial ties to disclose.