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- Title
Transvaginal versus Port-Site Specimen Retrieval after Laparoscopic Myomectomy: A Systematic Review and Meta-Analysis.
- Authors
Laganà, Antonio Simone; Vitagliano, Amerigo; Casarin, Jvan; Garzon, Simone; Uccella, Stefano; Franchi, Massimo; Cromi, Antonella; Ghezzi, Fabio
- Abstract
Introduction: To date, there is no robust evidence suggesting whether transvaginal retrieval (TVSR) or port-site specimen retrieval (PSSR) after laparoscopic myomectomy (LM) may lead to better surgical outcomes. Considering this element, we aimed to compare surgical outcomes of TVSR versus PSSR after LM. Methods: A search (PROSPERO ID: CRD42020176490) of international databases, from 1980 to 2020, in English language, was conducted. We selected studies that included women who underwent LM with TVSR compared with PSSR. Results: We did not find significant differences for operative time (MD = −8.90; 95% CI: 30.00, 12.20; I2 = 87%), myoma retrieval time (MD = −1.85; 95% CI: 13.55, 9.85; I2 = 98%), blood loss (MD = −27.62; 95% CI: 178.68, 124.43; I2 = 91%), intra-operative complication rate (OR 0.51; 95% CI: 0.01–23.09; I2 = 69%), and hospital stay (MD = −0.14; 95% CI: 0.43, 0.15; I2 = 64%); we found a significant lower postoperative rescue analgesics utilization in the TVSR group compared with the PSSR group (OR 0.31; 95% CI: 0.16–0.61; I2 = 0). Conclusion: TVSR and PSSR after LM showed comparable results for operative time and surgery-related complications. However, the need of postoperative rescue analgesics was lower in women who underwent TVSR.
- Subjects
MYOMECTOMY; LAPAROSCOPIC surgery; ENGLISH language; MUSCLE tumors
- Publication
Gynecologic & Obstetric Investigation, 2022, Vol 87, Issue 3/4, p177
- ISSN
0378-7346
- Publication type
Article
- DOI
10.1159/000525624