Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

303 questions · 321 findings · 26 reviews · Gynaecology and Fertility

No studies found 64 · 19.9%GRADE not reported 3 · 0.9%Very low 67 · 20.9%Low 104 · 32.4%Moderate 77 · 24%High 6 · 1.9%

Endometrial resection or ablation vs minimally invasive hysterectomy

Requirement for further surgery for treatment failure within 1 year after surgery · heavy menstrual bleeding

Endometrial resection or ablation probably leads to higher requirement for further surgery for treatment failure within 1 year… compared with minimally invasive hysterectomy (moderate certainty).

1 finding from 1 review

Second‐generation endometrial ablation vs first‐generation endometrial ablation

Requirement for additional (surgical) interventions · heavy menstrual bleeding

Overall analyses: second‐generation endometrial ablation showed no clear difference in requirement for additional surgery compared with first‐generation endometrial ablation (low certainty).

1 finding from 1 review

Hysterectomy with opportunistic salpingectomy vs hysterectomy without opportunistic salpingectomy

Surgery‐related adverse events: intraoperative complications · premenopausal women undergoing hysterectomy for benign gynaecological indications

It is very uncertain whether hysterectomy with opportunistic salpingectomy changes surgery‐related adverse events: intraoperative complications compared with hysterectomy without opportunistic salpingectomy (very low certainty).

1 finding from 1 review

Hysterectomy with opportunistic salpingectomy vs hysterectomy without opportunistic salpingectomy

Surgery‐related adverse events: short‐term postoperative complications · premenopausal women undergoing hysterectomy for benign gynaecological indications

It is very uncertain whether hysterectomy with opportunistic salpingectomy changes surgery‐related adverse events: short‐term postoperative complications compared with hysterectomy without opportunistic salpingectomy (very low certainty).

1 finding from 1 review

Peri‐cervical tourniquet vs no treatment to reduce blood loss during myomectomy

Operating time · women with uterine fibroids

It is very uncertain whether peri‐cervical tourniquet changes duration of surgery (min) Operative time compared with no treatment to reduce blood loss during myomectomy (very low certainty).

1 finding from 1 review

Intervention not reported

Prevalence of stress urinary incontinence within 2 years post surgery [ · Women requiring hysterectomy for benign conditions

The intervention showed no clear difference in prevalence of stress urinary incontinence within 2 years post… (moderate certainty).

1 finding from 1 review

Intervention not reported

Prevalence of constipation within 2 years post surgery [ · Women requiring hysterectomy for benign conditions

The intervention showed no clear difference in prevalence of constipation within 2 years post surgery [ (low certainty).

1 finding from 1 review

Intervention not reported

Satisfaction with sex within 2 years post surgery [ · Women requiring hysterectomy for benign conditions

The intervention showed no clear difference in satisfaction with sex within 2 years post surgery [ (low certainty).

1 finding from 1 review