Cochrane · systematic review · CD004638
Minimally invasive surgical techniques versus open myomectomy for uterine fibroids
Bhave Chittawar, P, Franik, S, Pouwer, AW, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Laparoscopic myomectomy versus open myomectomy (all types) for uterine fibroids
Population: Women with uterine fibroids
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative pain at 6 hours VAS from 0 to 10 Laparoscopic myomectomy vs open myomectomy (all types) | no estimate extracted | 1 study · 148 participants | Moderate |
Postoperative pain at 24 hours VAS from 0 to 10 Laparoscopic myomectomy vs open myomectomy (all types) | no estimate extracted | 4 studies · 232 participants | Moderate Downgraded: risk of bias |
Postoperative pain at 48 hours VAS from 0 to 10 Laparoscopic myomectomy vs open myomectomy (all types) | no estimate extracted | 2 studies · 80 participants | Moderate Downgraded: risk of bias |
Perioperative in‐hospital adverse events; unscheduled return to theatre Laparoscopic myomectomy vs open myomectomy (all types) | OR 3.04 [0.12, 75.86] | 2 studies · 188 participants | Low Downgraded: risk of bias, imprecision |
Perioperative in‐hospital adverse events; laparoconversion Laparoscopic myomectomy vs open myomectomy (all types) | OR 1.11 [0.44, 2.83] | 8 studies · 756 participants | Moderate Downgraded: risk of bias |
Perioperative in‐hospital adverse events; injury to pelvic organs Laparoscopic myomectomy vs open myomectomy (all types) | OR 3.04 [0.12, 75.86] | 1 study · 148 participants | Moderate Downgraded: imprecision |
In‐hospital adverse events; postoperative fever Laparoscopic myomectomy vs open myomectomy (all types) | OR 0.44 [0.26, 0.77] | 6 studies · 635 participants | Moderate Downgraded: risk of bias |