Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

45 questions · 45 findings · 7 reviews

No studies found 7 · 15.6%GRADE not reported 1 · 2.2%Very low 11 · 24.4%Low 18 · 40%Moderate 7 · 15.6%High 1 · 2.2%

Total laparoscopic hysterectomy vs laparoscopic‐assisted vaginal hysterectomy

Intra‐operative visceral injury (dichotomous) · patients with benign gynaecological disease

Total laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury (dichotomous) compared with laparoscopic‐assisted vaginal hysterectomy (low certainty).

1 finding from 1 review

Total laparoscopic hysterectomy vs laparoscopic‐assisted vaginal hysterectomy

Major short‐term complications (dichotomous) · patients with benign gynaecological disease

It is very uncertain whether total laparoscopic hysterectomy changes major short‐term complications (dichotomous) compared with laparoscopic‐assisted vaginal hysterectomy (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade (condom‐loaded catheter) vs uterovaginal packing (intrauterine tamponade versus another intrauterine tamponade method)

Hysterectomy to control bleeding · Women (aged between 20 and 40) diagnosed with primary PPH following 'normal' vaginal birth and unresponsive to medical treatment (Ashraf…

The review found no eligible studies for this question.

1 finding from 1 review

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Hysterectomy to control bleeding · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…

It is very uncertain whether intrauterine balloon tamponade plus normal care (misoprostol) changes hysterectomy to control bleeding compared with normal care (misoprostol) (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade (latex balloon inflated with air) plus cerclage and normal care vs normal care

Hysterectomy to control bleeding · women with PPH, due to atony, following vaginal birth at home or in hospital (Soltan 2007)

It is very uncertain whether intrauterine balloon tamponade (latex balloon inflated with air)… changes hysterectomy to control bleeding compared with normal care (very low certainty).

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Hysterectomy to control bleeding · women with primary atonic postpartum haemorrhage following vaginal delivery

It is very uncertain whether bakri balloon tamponade changes hysterectomy to control bleeding compared with condom‐loaded Foley Catheter (one intrauterine tamponade compared to… (very low certainty).

1 finding from 1 review

Standard care plus IV tranexamic acid vs placebo or usual care

Hysterectomy to control bleeding · women with primary postpartum haemorrhage following vaginal or caesarean birth

Standard care plus IV tranexamic acid showed no clear difference in surgical intervention to control bleeding: Hysterectomy compared with placebo or standard care alone (high certainty).

1 finding from 1 review

Antibiotics vs placebo

Total postoperative infections ‐ early and late · women having elective vaginal hysterectomy

Antibiotics may leads to lower total postoperative infections ‐ early and late compared with placebo (low certainty).

1 finding from 1 review

Intervention not reported

Total postoperative infections ‐ early and late Urinary tract infection Pelvic infection Other serious infections Postoperative fever · women having elective vaginal hysterectomy

It is very uncertain whether the intervention changes total postoperative infections ‐ early and late Urinary tract… (very low certainty).

1 finding from 1 review

Intervention not reported

Total adverse effects · women having elective vaginal hysterectomy
1 finding from 1 review