What question did this study set out to answer?

To compare the clinical efficacy, advantages, and complication profiles of minimally invasive endoscopic surgery versus open laparotomy for uterine myomectomy.

December 28, 2023MedicinaOpen Access

Exploring Surgical Strategies for Uterine Fibroid Treatment: A Comprehensive Review of Literature on Open and Minimally Invasive Approaches

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Authors

SCStefano CianciUniversity of Messina FGFerdinando Antonio GulinoUniversity of Messina VPVittorio PalmaraUniversity of Messina

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Implication

Systematic review finds lower complication rates with minimally invasive versus open surgery in women undergoing myomectomy, suggesting surgical approach does not impair fertility outcomes.

Key Points

To compare the clinical efficacy, advantages, and complication profiles of minimally invasive endoscopic surgery versus open laparotomy for uterine myomectomy.
Systematic bibliographic search of Medline, Embase, the Cochrane Database of Systematic Reviews, and ClinicalTrials.gov for studies published between 2013 and 2023.
Identified and analyzed 25 eligible comparative studies evaluating endoscopic and open surgical approaches according to predefined inclusion criteria.
The average complication rate was 14.2% (range: 0% to 50%) for the minimally invasive group versus 22.3% (range: 0% to 60.3%) for the open laparotomic group.
Average pregnancy and delivery rates were 29.7% (range: 1.8% to 100%) for minimally invasive surgery and 28.5% (range: 1.8% to 100%) for open surgery.
Open surgery was utilized for higher tumor burdens, managing an average of 5.4 myomas (range: 1 to 13.5) sized 8 cm (range: 3.9 to 11.2 cm), compared to 3.7 myomas (range: 1 to 13.7) sized 7 cm (range: 4.8 to 14 cm) in minimally invasive surgery.

Cite This Study

Cianci et al. (2023) studied this question.

synapsesocial.com/papers/6a76fa6ca7498e5110ae3350 https://doi.org/10.3390/medicina60010064

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Implication

Systematic review finds lower complication rates with minimally invasive versus open surgery in women undergoing myomectomy, suggesting surgical approach does not impair fertility outcomes.

Exploring Surgical Strategies for Uterine Fibroid Treatment: A Comprehensive Review of Literature on Open and Minimally Invasive Approaches

Discussion

Member takes

Implication

Key Points

Cite This Study

Exploring Surgical Strategies for Uterine Fibroid Treatment: A Comprehensive Review of Literature on Open and Minimally Invasive Approaches

Discussion

Member takes

Implication

Key Points

Cite This Study

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