Laparoscopic myomectomy vs open myomectomy (all types)
- Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes onlyno estimate extracted1 study · 148 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).
Medical treatment probably leads to higher improvement in pain score at end of treatment: progesterone versus… compared with placebo (moderate certainty).
The review found no eligible studies for this question.
Psychological therapy may leads to higher improvement in pain scores—Ultrasound scan and counselling session… compared with control interventions (low certainty).
It is very uncertain whether psychological therapy changes improvement in pain scores—Somatocognitive therapy (Mensendieck)… compared with control interventions (very low certainty).
Psychological therapy showed no clear difference in improvement in pain scores—Integrated approach (somatic,… compared with control interventions (low certainty).
It is very uncertain whether psychological therapy changes improvement in pain scores—Writing therapy (disclosure of pain)… compared with control interventions (very low certainty).
Psychological therapy showed no clear difference in improvement in pain scores—Psychotherapy versus placebo, measured at… compared with control interventions (low certainty).
Medical treatment leads to higher weight gain: progesterone versus placebo compared with placebo (high certainty).
Medical treatment leads to higher bloatedness: progesterone versus placebo compared with placebo (high certainty).
Medical treatment showed no clear difference in improvement in pain score: lofexidine versus placebo compared with placebo (low certainty).
Medical treatment probably leads to higher drowsiness/lethargy: lofexidine versus placebo compared with placebo (moderate certainty).