Laparoscopic myomectomy vs open myomectomy (all types)
- Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes onlyno estimate extracted4 studies · 232 participantsModerate
Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; unscheduled return to… compared with open myomectomy (all types) (low certainty).
Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; laparoconversion compared with open myomectomy (all types) (moderate certainty).
Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; injury to pelvic organs compared with open myomectomy (all types) (moderate certainty).
Laparoscopic myomectomy probably leads to lower in‐hospital adverse events; postoperative fever compared with open myomectomy (all types) (moderate certainty).
Laparoscopic ablation and uterine nerve transaction showed no clear difference in adverse events compared with diagnostic laparoscopy (low certainty).
Laparoscopic hysterectomy showed no clear difference in major short‐term complications (dichotomous) compared with abdominal hysterectomy (low certainty).
The review found no eligible studies for this question.
Laparoscopic hysterectomy showed no clear difference in long‐term complications (dichotomous) compared with vaginal hysterectomy (low certainty).
Laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury (dichotomous) compared with vaginal hysterectomy (low certainty).
Laparoscopic hysterectomy showed no clear difference in major short‐term complications (dichotomous) compared with vaginal hysterectomy (low certainty).
It is very uncertain whether laparoscopic hysterectomy changes long‐term outcomes compared with abdominal hysterectomy (very low certainty).
Laparoscopic hysterectomy showed no clear difference in long‐term complications (dichotomous) compared with abdominal hysterectomy (low certainty).
Laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury(dichotomous) compared with abdominal hysterectomy (low certainty).
Sacral colpopexy: laparoscopic showed no clear difference in surgery for recurrent prolapse compared with alternative approach (moderate certainty).
Sacral colpopexy: laparoscopic showed no clear difference in prolapse on examination (Stage 2 or more): Any recurrent prolapse compared with alternative approach (low certainty).
It is very uncertain whether sacral colpopexy: laparoscopic changes any complications (Clavien‐Dindo > 3) compared with alternative approach (very low certainty).