Transvaginal biological graft showed no clear difference in visceral injury compared with native tissue repair (low certainty).
Transvaginal permanent mesh may leads to higher visceral injury compared with native tissue repair (low certainty).
Laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury (dichotomous) compared with vaginal hysterectomy (low certainty).
The review found no eligible studies for this question.
It is very uncertain whether single‐port laparoscopic hysterectomy changes intra‐operative visceral injury (dichotomous) compared with laparoscopic hysterectomy (very low certainty).
Total laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury (dichotomous) compared with laparoscopic‐assisted vaginal hysterectomy (low certainty).
V‐NOTES showed no clear difference in intra‐operative visceral injury (dichotomous) compared with laparoscopic hysterectomy (low certainty).
Vaginal hysterectomy showed no clear difference in intra‐operative visceral injury (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).
Vaginal procedure showed no clear difference in intraoperative Visceral injury compared with sacral colpopexy (vault prolapse) (moderate certainty).
Absorbable showed no clear difference in visceral injury ‐ Bladder compared with non absorbable sutures (moderate certainty).
It is very uncertain whether direct vision entry changes visceral injury (bladder or bowel) compared with veress needle entry (very low certainty).
It is very uncertain whether direct vision entry changes visceral injury (bladder or bowel) compared with open‐entry technique (very low certainty).
It is very uncertain whether radially expanding (STEP) trocars for primary port entry changes visceral injury (bladder or bowel) compared with standard (non‐expanding) trocars (very low certainty).
It is very uncertain whether open‐entry changes visceral injury (bladder or bowel) compared with closed‐entry technique (very low certainty).
It is very uncertain whether direct trocar entry changes visceral injury (bladder or bowel) compared with veress needle entry (very low certainty).
Misoprostol probably leads to lower specific intraoperative complications ‐ Cervical laceration/tear compared with placebo or no treatment before operative hysteroscopy (moderate certainty).
It is very uncertain whether radially expanding trocars changes visceral injury compared with cutting trocars (very low certainty).