What do systematic reviews say?

Laparoscopic ablation and uterine nerve transaction vs diagnostic laparoscopy

Laparoscopic ablation and uterine nerve transaction showed no clear difference in adverse events compared with diagnostic laparoscopy (low certainty).

• Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
  OR 0.33 [0.01, 8.32]
  1 study · 141 participants
  Low

Laparoscopic treatment vs diagnostic laparoscopy

• Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 341 participants
  Low

Chinese herbal medicine (CHM) + laparoscopic ovarian drilling (LOD) vs LOD

The review found no eligible studies for this question.

• Chinese herbal medicine for subfertile women with polycystic ovarian syndrome 2021 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy probably leads to lower in‐hospital adverse events; postoperative fever compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 0.44 [0.26, 0.77]
  6 studies · 635 participants
  Moderate

Summary of findings table ‐ LUNA (laparoscopic uterosacral ligament nerve ablation) vs diagnostic laparoscopy/other treatments

• Surgical interventions for the management of chronic pelvic pain in women 2021 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 121 participants
  GRADE not reported

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; laparoconversion compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 1.11 [0.44, 2.83]
  8 studies · 756 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; injury to pelvic organs compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 3.04 [0.12, 75.86]
  1 study · 148 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; unscheduled return to… compared with open myomectomy (all types) (low certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 3.04 [0.12, 75.86]
  2 studies · 188 participants
  Low

Intraperitoneal drain vs no intraperitoneal drain

The review found no eligible studies for this question.

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Subdiaphragmatic intraperitoneal local anaesthetic vs control

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 165 participants
  GRADE not reported

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

The review found no eligible studies for this question.

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Warmed, or warmed and humidified CO2 vs unwarmed and unhumidified CO2

The review found no eligible studies for this question.

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Gasless laparoscopy vs CO2 insufflation

Gasless laparoscopy showed no clear difference in adverse events compared with CO2 insufflation (low certainty).

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  OR 2.56 [0.25, 26.28]
  1 study · 54 participants
  Low

Specific technique vs standard techniques

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 74 participants
  GRADE not reported

Fluid instillation vs no fluid instillation

The review found no eligible studies for this question.

• Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Helium thermal coagulator vs electrodiathermy

• Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 192 participants
  Very low