Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis
Abstract Background There are various surgical approaches of hysterectomy for benign indications. This study aimed to compare vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH) with respect to their complications and operative outcomes. Methods We selected randomised controlled trials that...
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doaj-d71d95e3e426448b88de6ee91f79fdda2020-11-25T03:47:51ZengBMCBMC Women's Health1472-68742019-06-0119111210.1186/s12905-019-0784-4Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysisSeung Hyun Lee0So Ra Oh1Yeon Jean Cho2Myoungseok Han3Jung-Woo Park4Su Jin Kim5Jeong Hye Yun6Sun Yi Choe7Joong Sub Choi8Jong Woon Bae9Department of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Hanyang UniversityDepartment of Obstetrics and Gynaecology, College of Medicine, Dong-A UniversityAbstract Background There are various surgical approaches of hysterectomy for benign indications. This study aimed to compare vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH) with respect to their complications and operative outcomes. Methods We selected randomised controlled trials that compared VH with LH for benign gynaecological indications. We included studies published after January 2000 in the following databases: Medline, EMBASE, and CENTRAL (The Cochrane Library). The primary outcome was comparison of the complication rate. The secondary outcomes were comparisons of operating time, blood loss, intraoperative conversion, postoperative pain, length of hospital stay and duration of recuperation. We used Review Manager 5.3 software to perform the meta-analysis. Results Eighteen studies of 1618 patients met the inclusion criteria. The meta-analysis showed no differences in overall complications, intraoperative conversion, postoperative pain on the day of surgery and at 48 h, length of hospital stay and recuperation time between VH and LH. VH was associated with a shorter operating time and lower postoperative pain at 24 h than LH. Conclusions When both surgical approaches are feasible, VH should remain the surgery of choice for benign hysterectomy.http://link.springer.com/article/10.1186/s12905-019-0784-4Laparoscopic hysterectomyVaginal hysterectomyMeta-analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seung Hyun Lee So Ra Oh Yeon Jean Cho Myoungseok Han Jung-Woo Park Su Jin Kim Jeong Hye Yun Sun Yi Choe Joong Sub Choi Jong Woon Bae |
spellingShingle |
Seung Hyun Lee So Ra Oh Yeon Jean Cho Myoungseok Han Jung-Woo Park Su Jin Kim Jeong Hye Yun Sun Yi Choe Joong Sub Choi Jong Woon Bae Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis BMC Women's Health Laparoscopic hysterectomy Vaginal hysterectomy Meta-analysis |
author_facet |
Seung Hyun Lee So Ra Oh Yeon Jean Cho Myoungseok Han Jung-Woo Park Su Jin Kim Jeong Hye Yun Sun Yi Choe Joong Sub Choi Jong Woon Bae |
author_sort |
Seung Hyun Lee |
title |
Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
title_short |
Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
title_full |
Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
title_fullStr |
Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
title_full_unstemmed |
Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
title_sort |
comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis |
publisher |
BMC |
series |
BMC Women's Health |
issn |
1472-6874 |
publishDate |
2019-06-01 |
description |
Abstract Background There are various surgical approaches of hysterectomy for benign indications. This study aimed to compare vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH) with respect to their complications and operative outcomes. Methods We selected randomised controlled trials that compared VH with LH for benign gynaecological indications. We included studies published after January 2000 in the following databases: Medline, EMBASE, and CENTRAL (The Cochrane Library). The primary outcome was comparison of the complication rate. The secondary outcomes were comparisons of operating time, blood loss, intraoperative conversion, postoperative pain, length of hospital stay and duration of recuperation. We used Review Manager 5.3 software to perform the meta-analysis. Results Eighteen studies of 1618 patients met the inclusion criteria. The meta-analysis showed no differences in overall complications, intraoperative conversion, postoperative pain on the day of surgery and at 48 h, length of hospital stay and recuperation time between VH and LH. VH was associated with a shorter operating time and lower postoperative pain at 24 h than LH. Conclusions When both surgical approaches are feasible, VH should remain the surgery of choice for benign hysterectomy. |
topic |
Laparoscopic hysterectomy Vaginal hysterectomy Meta-analysis |
url |
http://link.springer.com/article/10.1186/s12905-019-0784-4 |
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