Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions: A Systematic Review and Meta-analysis
OBJECTIVETo compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions.DATA SOURCESWe performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov , and the C...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2023-12, Vol.142 (6), p.1373-1394 |
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| creator | Azadi, Ali Masoud, Ahmed Taher Ulibarri, Hollie Arroyo, Amanda Coriell, Catherine Goetz, Sydnee Moir, Carmen Moberly, Atley Gonzalez, Daniela Blanco, Madison Marchand, Greg |
| description | OBJECTIVETo compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions.DATA SOURCESWe performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov , and the Cochrane Library from 2000 until February 28, 2023.METHODS OF STUDY SELECTIONWe searched for randomized controlled trials (RCTs) that compared vaginal hysterectomy with laparoscopic hysterectomy in benign gynecologic conditions. We located 3,249 articles. After reviewing titles and abstracts, we identified 32 articles that were eligible for full-text screening. We excluded nine articles as not-RCT or not comparing vaginal hysterectomy with laparoscopic hysterectomy. Twenty-three articles were included in the final systematic review, with 22 articles included in the meta-analysis.TABULATION, INTEGRATION, AND RESULTSTwenty-three eligible RCTs included a total population of 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Blood loss and postoperative urinary tract infection rates were lower in the vaginal hysterectomy group than in the laparoscopic hysterectomy group (mean difference -68, 95% CI -104.29 to -31.7, P |
| doi_str_mv | 10.1097/AOG.0000000000005434 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2889238221</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2889238221</sourcerecordid><originalsourceid>FETCH-LOGICAL-c148t-27efae6a5d69b9f939bbaac3870d4c576a9ab67365d13f0ec9f5f4617a6993bd3</originalsourceid><addsrcrecordid>eNpdkDtPwzAUhS0EEqXwDxgysqT4FT_GEkGLVKkLrwVZjmMXo8QOcTrk3zeoDMBdjq706UjnA-AawQWCkt8ut6sF_HUFJfQEzJDgJMeEvJ2CGYRY5lxQeg4uUvqcIMQkmYH3F73zQTfZekyD7a0ZYjtmZWw73ds6e_XDR7bR0xOTiZ03fzkfsjsb_C5kqzFYE5u4m5AyhtoPPoZ0Cc6cbpK9-sk5eH64fyrX-Wa7eiyXm9wgKoYcc-u0Zbqomaykk0RWldaGCA5ragrOtNQV44QVNSIOWiNd4ShDXDMpSVWTObg59nZ9_NrbNKjWJ2ObRgcb90lhISQmAmM0ofSImmlS6q1TXe9b3Y8KQfVtU0021X-b5ABmwmmp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2889238221</pqid></control><display><type>article</type><title>Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions: A Systematic Review and Meta-analysis</title><source>Journals@Ovid Complete</source><creator>Azadi, Ali ; Masoud, Ahmed Taher ; Ulibarri, Hollie ; Arroyo, Amanda ; Coriell, Catherine ; Goetz, Sydnee ; Moir, Carmen ; Moberly, Atley ; Gonzalez, Daniela ; Blanco, Madison ; Marchand, Greg</creator><creatorcontrib>Azadi, Ali ; Masoud, Ahmed Taher ; Ulibarri, Hollie ; Arroyo, Amanda ; Coriell, Catherine ; Goetz, Sydnee ; Moir, Carmen ; Moberly, Atley ; Gonzalez, Daniela ; Blanco, Madison ; Marchand, Greg</creatorcontrib><description>OBJECTIVETo compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions.DATA SOURCESWe performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov , and the Cochrane Library from 2000 until February 28, 2023.METHODS OF STUDY SELECTIONWe searched for randomized controlled trials (RCTs) that compared vaginal hysterectomy with laparoscopic hysterectomy in benign gynecologic conditions. We located 3,249 articles. After reviewing titles and abstracts, we identified 32 articles that were eligible for full-text screening. We excluded nine articles as not-RCT or not comparing vaginal hysterectomy with laparoscopic hysterectomy. Twenty-three articles were included in the final systematic review, with 22 articles included in the meta-analysis.TABULATION, INTEGRATION, AND RESULTSTwenty-three eligible RCTs included a total population of 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Blood loss and postoperative urinary tract infection rates were lower in the vaginal hysterectomy group than in the laparoscopic hysterectomy group (mean difference -68, 95% CI -104.29 to -31.7, P <.01, I2 =95% and odds ratio 1.73, 95% CI 0.92-3.26, P =.03, I2 =0%, respectively). Vaginal hysterectomy was associated with less total operative time, less recovery time, and greater postoperative pain on the day of surgery. Other complications, including conversion to laparotomy, visceral organ damage, or wound dehiscence, were uncommon. Because of insufficient data, we were not able to stratify by surgical indication.CONCLUSIONVaginal hysterectomy had a shorter total operative time and recovery time but greater postoperative pain on day of surgery compared with laparoscopic hysterectomy.SYSTEMATIC REVIEW REGISTRATIONPROSPERO, CRD42023338538.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0000000000005434</identifier><language>eng</language><ispartof>Obstetrics and gynecology (New York. 1953), 2023-12, Vol.142 (6), p.1373-1394</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c148t-27efae6a5d69b9f939bbaac3870d4c576a9ab67365d13f0ec9f5f4617a6993bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids></links><search><creatorcontrib>Azadi, Ali</creatorcontrib><creatorcontrib>Masoud, Ahmed Taher</creatorcontrib><creatorcontrib>Ulibarri, Hollie</creatorcontrib><creatorcontrib>Arroyo, Amanda</creatorcontrib><creatorcontrib>Coriell, Catherine</creatorcontrib><creatorcontrib>Goetz, Sydnee</creatorcontrib><creatorcontrib>Moir, Carmen</creatorcontrib><creatorcontrib>Moberly, Atley</creatorcontrib><creatorcontrib>Gonzalez, Daniela</creatorcontrib><creatorcontrib>Blanco, Madison</creatorcontrib><creatorcontrib>Marchand, Greg</creatorcontrib><title>Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions: A Systematic Review and Meta-analysis</title><title>Obstetrics and gynecology (New York. 1953)</title><description>OBJECTIVETo compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions.DATA SOURCESWe performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov , and the Cochrane Library from 2000 until February 28, 2023.METHODS OF STUDY SELECTIONWe searched for randomized controlled trials (RCTs) that compared vaginal hysterectomy with laparoscopic hysterectomy in benign gynecologic conditions. We located 3,249 articles. After reviewing titles and abstracts, we identified 32 articles that were eligible for full-text screening. We excluded nine articles as not-RCT or not comparing vaginal hysterectomy with laparoscopic hysterectomy. Twenty-three articles were included in the final systematic review, with 22 articles included in the meta-analysis.TABULATION, INTEGRATION, AND RESULTSTwenty-three eligible RCTs included a total population of 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Blood loss and postoperative urinary tract infection rates were lower in the vaginal hysterectomy group than in the laparoscopic hysterectomy group (mean difference -68, 95% CI -104.29 to -31.7, P <.01, I2 =95% and odds ratio 1.73, 95% CI 0.92-3.26, P =.03, I2 =0%, respectively). Vaginal hysterectomy was associated with less total operative time, less recovery time, and greater postoperative pain on the day of surgery. Other complications, including conversion to laparotomy, visceral organ damage, or wound dehiscence, were uncommon. Because of insufficient data, we were not able to stratify by surgical indication.CONCLUSIONVaginal hysterectomy had a shorter total operative time and recovery time but greater postoperative pain on day of surgery compared with laparoscopic hysterectomy.SYSTEMATIC REVIEW REGISTRATIONPROSPERO, CRD42023338538.</description><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkDtPwzAUhS0EEqXwDxgysqT4FT_GEkGLVKkLrwVZjmMXo8QOcTrk3zeoDMBdjq706UjnA-AawQWCkt8ut6sF_HUFJfQEzJDgJMeEvJ2CGYRY5lxQeg4uUvqcIMQkmYH3F73zQTfZekyD7a0ZYjtmZWw73ds6e_XDR7bR0xOTiZ03fzkfsjsb_C5kqzFYE5u4m5AyhtoPPoZ0Cc6cbpK9-sk5eH64fyrX-Wa7eiyXm9wgKoYcc-u0Zbqomaykk0RWldaGCA5ragrOtNQV44QVNSIOWiNd4ShDXDMpSVWTObg59nZ9_NrbNKjWJ2ObRgcb90lhISQmAmM0ofSImmlS6q1TXe9b3Y8KQfVtU0021X-b5ABmwmmp</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Azadi, Ali</creator><creator>Masoud, Ahmed Taher</creator><creator>Ulibarri, Hollie</creator><creator>Arroyo, Amanda</creator><creator>Coriell, Catherine</creator><creator>Goetz, Sydnee</creator><creator>Moir, Carmen</creator><creator>Moberly, Atley</creator><creator>Gonzalez, Daniela</creator><creator>Blanco, Madison</creator><creator>Marchand, Greg</creator><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20231201</creationdate><title>Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions</title><author>Azadi, Ali ; Masoud, Ahmed Taher ; Ulibarri, Hollie ; Arroyo, Amanda ; Coriell, Catherine ; Goetz, Sydnee ; Moir, Carmen ; Moberly, Atley ; Gonzalez, Daniela ; Blanco, Madison ; Marchand, Greg</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c148t-27efae6a5d69b9f939bbaac3870d4c576a9ab67365d13f0ec9f5f4617a6993bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azadi, Ali</creatorcontrib><creatorcontrib>Masoud, Ahmed Taher</creatorcontrib><creatorcontrib>Ulibarri, Hollie</creatorcontrib><creatorcontrib>Arroyo, Amanda</creatorcontrib><creatorcontrib>Coriell, Catherine</creatorcontrib><creatorcontrib>Goetz, Sydnee</creatorcontrib><creatorcontrib>Moir, Carmen</creatorcontrib><creatorcontrib>Moberly, Atley</creatorcontrib><creatorcontrib>Gonzalez, Daniela</creatorcontrib><creatorcontrib>Blanco, Madison</creatorcontrib><creatorcontrib>Marchand, Greg</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azadi, Ali</au><au>Masoud, Ahmed Taher</au><au>Ulibarri, Hollie</au><au>Arroyo, Amanda</au><au>Coriell, Catherine</au><au>Goetz, Sydnee</au><au>Moir, Carmen</au><au>Moberly, Atley</au><au>Gonzalez, Daniela</au><au>Blanco, Madison</au><au>Marchand, Greg</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions: A Systematic Review and Meta-analysis</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><date>2023-12-01</date><risdate>2023</risdate><volume>142</volume><issue>6</issue><spage>1373</spage><epage>1394</epage><pages>1373-1394</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>OBJECTIVETo compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions.DATA SOURCESWe performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov , and the Cochrane Library from 2000 until February 28, 2023.METHODS OF STUDY SELECTIONWe searched for randomized controlled trials (RCTs) that compared vaginal hysterectomy with laparoscopic hysterectomy in benign gynecologic conditions. We located 3,249 articles. After reviewing titles and abstracts, we identified 32 articles that were eligible for full-text screening. We excluded nine articles as not-RCT or not comparing vaginal hysterectomy with laparoscopic hysterectomy. Twenty-three articles were included in the final systematic review, with 22 articles included in the meta-analysis.TABULATION, INTEGRATION, AND RESULTSTwenty-three eligible RCTs included a total population of 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Blood loss and postoperative urinary tract infection rates were lower in the vaginal hysterectomy group than in the laparoscopic hysterectomy group (mean difference -68, 95% CI -104.29 to -31.7, P <.01, I2 =95% and odds ratio 1.73, 95% CI 0.92-3.26, P =.03, I2 =0%, respectively). Vaginal hysterectomy was associated with less total operative time, less recovery time, and greater postoperative pain on the day of surgery. Other complications, including conversion to laparotomy, visceral organ damage, or wound dehiscence, were uncommon. Because of insufficient data, we were not able to stratify by surgical indication.CONCLUSIONVaginal hysterectomy had a shorter total operative time and recovery time but greater postoperative pain on day of surgery compared with laparoscopic hysterectomy.SYSTEMATIC REVIEW REGISTRATIONPROSPERO, CRD42023338538.</abstract><doi>10.1097/AOG.0000000000005434</doi><tpages>22</tpages></addata></record> |
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| title | Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions: A Systematic Review and Meta-analysis |
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