Findings

What do systematic reviews say?

34 questions · 36 findings · 5 reviews · Gynaecology and Fertility

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No studies found 10 · 27.8%GRADE not reported 3 · 8.3%Very low 14 · 38.9%Low 7 · 19.4%Moderate 2 · 5.6%High 0 · 0%

Laparoscopic treatment vs diagnostic laparoscopy

Overall pain scores unclear measurement instrument (6 months) · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 16 participants
Very low

Laparoscopic treatment vs diagnostic laparoscopy

Adverse events: conversion to laparotomy · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 341 participants
Low

Laparoscopic treatment vs diagnostic laparoscopy

Overall pain scores unclear measurement instrument (12 months) · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 16 participants
Very low

Laparoscopic treatment vs diagnostic laparoscopy

Live birth · women with endometriosis

The review found no eligible studies for this question.

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic treatment vs diagnostic laparoscopy

Quality of life EQ‐5D index summary (6 months) · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 39 participants
Low

Laparoscopic treatment vs diagnostic laparoscopy

Health‐related quality of life (mental) · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 39 participants
Low

Laparoscopic treatment vs diagnostic laparoscopy

Health‐related quality of life (physical) · women with endometriosis

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
no estimate extracted
1 study · 39 participants
Low

Laparoscopic treatment vs diagnostic laparoscopy

Viable intrauterine Pregnancy · women with endometriosis

Laparoscopic treatment probably leads to higher viable intrauterine pregnancy confirmed by ultrasound compared with diagnostic laparoscopy (moderate certainty).

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
OR 1.89 [1.25, 2.86]
3 studies · 528 participants
Moderate

Laparoscopic treatment vs diagnostic laparoscopy

Pregnancy loss: ectopic pregnancy per pregnancy · women with endometriosis

Laparoscopic treatment showed no clear difference in pregnancy loss: ectopic pregnancy per pregnancy compared with diagnostic laparoscopy (low certainty).

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
OR 1.18 [0.1, 13.48]
1 study · 100 participants
Low

Laparoscopic treatment vs diagnostic laparoscopy

Miscarriage pregnancy rate · women with endometriosis

Laparoscopic treatment showed no clear difference in pregnancy loss: miscarriage per pregnancy compared with diagnostic laparoscopy (low certainty).

1 finding from 1 review

Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
OR 0.94 [0.35, 2.54]
2 studies · 112 participants
Low

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy · tubal disease in women due to undergo in vitro fertilisation

It is very uncertain whether laparoscopic proximal tubal occlusion changes laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy compared with laparoscopic salpingectomy (very low certainty).

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
RR 1.21 [0.76, 1.95]
1 study · 165 participants
Very low

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

Surgical interventions for the management of chronic pelvic pain in women 2021 · Cochrane Headline outcomes only
no estimate extracted
1 study · 74 participants
Very low
Surgical interventions for the management of chronic pelvic pain in women 2021 · Cochrane Headline outcomes only
no estimate extracted
1 study · 74 participants
Very low
Surgical interventions for the management of chronic pelvic pain in women 2021 · Cochrane Headline outcomes only
OR 1.26 [0.4, 3.93]
1 study · 51 participants
Low

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Live birth rate · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Wound infection · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Surgical complication rate ‐ pelvic infection · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Clinical pregnancy rate · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Miscarriage · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic proximal tubal occlusion vs laparoscopic salpingectomy

Ectopic pregnancy · tubal disease in women due to undergo in vitro fertilisation

The review found no eligible studies for this question.

1 finding from 1 review

Surgical treatment for tubal disease in women due to undergo in vitro fertilisation 2020 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

Live birth rate · fibroids for infertility

It is very uncertain whether laparoscopic myomectomy changes live birth rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

1 finding from 1 review

Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
OR 0.8 [0.42, 1.5]
2 studies · 177 participants
Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

Preterm delivery rate · fibroids for infertility

It is very uncertain whether laparoscopic myomectomy changes preterm delivery rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

1 finding from 1 review

Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
OR 0.7 [0.11, 4.29]
2 studies · 177 participants
Very low