Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

170 questions · 173 findings · 15 reviews · Gynaecology and Fertility

No studies found 50 · 28.9%GRADE not reported 9 · 5.2%Very low 53 · 30.6%Low 46 · 26.6%Moderate 15 · 8.7%High 0 · 0%

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

Effectiveness of treatment · health problem or population
3 findings from 1 review

Interventions to reduce blood loss during myomectomy for fibroids vs placebo or no treatment

Misoprostol in laparoscopic myomectomy · women with uterine fibroids

Interventions to reduce blood loss during myomectomy for fibroids showed no clear difference in misoprostol in laparoscopic myomectomy compared with placebo or no treatment (moderate certainty).

1 finding from 1 review

Any type of in‐bag morcellation vs uncontained power morcellation during laparoscopic myomectomy

Operative time · premenopausal women undergoing laparoscopic myomectomy for uterine fibroids

It is very uncertain whether any type of in‐bag morcellation changes total operative time (minutes) compared with uncontained power morcellation during laparoscopic myomectomy (very low certainty).

1 finding from 1 review

Any type of in‐bag morcellation vs uncontained power morcellation during laparoscopic myomectomy

Morcellation operative time (minutes) · premenopausal women undergoing laparoscopic myomectomy for uterine fibroids

It is very uncertain whether any type of in‐bag morcellation changes morcellation operative time (minutes) compared with uncontained power morcellation during laparoscopic myomectomy (very low certainty).

1 finding from 1 review

Any type of in‐bag morcellation vs uncontained power morcellation during laparoscopic myomectomy

Ease of morcellation (scale 1 to 10; 1 = very difficult, 10 = very easy) · premenopausal women undergoing laparoscopic myomectomy for uterine fibroids

It is very uncertain whether any type of in‐bag morcellation changes ease of morcellation (scale 1 to 10; 1 = very difficult, 10 = very… compared with uncontained power morcellation during laparoscopic myomectomy (very low certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Solid organ injury · patients undergoing laparoscopic surgery

It is very uncertain whether direct trocar entry changes solid organ injury compared with veress needle entry (very low certainty).

1 finding from 1 review

Direct trocar entry vs Veress needle entry

Failed entry · patients undergoing laparoscopic surgery

Direct trocar entry probably leads to lower failed entry compared with veress needle entry (moderate certainty).

1 finding from 1 review