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Laparoscopic myomectomy versus open myomectomy in uterine fibroid treatment: A meta-analysis

Uterine fibroids are the most commonly occurring benign solid tumors in women, and laparoscopic or open myomectomy constitutes the primary option for treatment. However, both methods are under debate currently in terms of efficacy and safety. In this meta-analysis we assessed the efficacy and safety...

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Bibliographic Details
Published in:Laparoscopic, endoscopic, and robotic surgery endoscopic, and robotic surgery, 2021-09, Vol.4 (3), p.66-71
Main Authors: Yudha Pratama Putra, Probo, Prameswari, Arlinda Silva, Ma'roef, Mochammad, Musyarrofah, Aida, Nelasari, Halida
Format: Article
Language:English
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Summary:Uterine fibroids are the most commonly occurring benign solid tumors in women, and laparoscopic or open myomectomy constitutes the primary option for treatment. However, both methods are under debate currently in terms of efficacy and safety. In this meta-analysis we assessed the efficacy and safety of the two procedures. We conducted a comprehensive literature search of PubMed, ScienceDirect, and the Cochrane Library in December 2020. The search terms included “open myomectomy”, “myomectomies”, “laparoscopic”, and “uterine fibroids”. We then selected the randomized control trials published from 1996 to 2019 and compared laparoscopic and open myomectomies. We included 10 studies of 449 patients who underwent laparoscopic myomectomy and 449 patients who underwent open myomectomy. The data revealed that laparoscopic myomectomy was associated with reduced blood loss (MD = −34.43; 95% CI, −34.92 to −33.94; p 
ISSN:2468-9009
2468-9009
DOI:10.1016/j.lers.2021.08.002