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).
It is very uncertain whether laparoscopic myomectomy changes live birth rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
It is very uncertain whether laparoscopic myomectomy changes preterm delivery rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
It is very uncertain whether laparoscopic myomectomy changes clinical pregnancy rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
It is very uncertain whether laparoscopic myomectomy changes ongoing pregnancy rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
It is very uncertain whether laparoscopic myomectomy changes miscarriage Rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
It is very uncertain whether laparoscopic myomectomy changes caesarean section rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).
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).
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).
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).
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).