1. Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications
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Ibrahim Alkatout, Jan Baekelandt, Susanne Housmans, Nargis Noori, Laura Cattani, Jan Bosteels, Supuni Kapurubandara, and Jan Deprest
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medicine.medical_specialty ,medicine.medical_treatment ,laparoscopy ,MEDLINE ,lcsh:Medicine ,Review ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,systematic review ,Randomized controlled trial ,law ,medicine ,030212 general & internal medicine ,hysterectomy ,Laparoscopy ,030219 obstetrics & reproductive medicine ,Hysterectomy ,medicine.diagnostic_test ,business.industry ,lcsh:R ,NOTES ,Laparoscopic hysterectomy ,Retrospective cohort study ,General Medicine ,Surgery ,meta-analysis ,Clinical trial ,Meta-analysis ,minimally invasive ,business - Abstract
(1) Objective: We aimed to report an update of the systematic review and meta-analysis by Baekelandt et al. (2016). (2) Method: We followed PRISMA guidelines to perform this systematic review. We searched MEDLINE, EMBASE, CENTRAL and additional sources and aimed to retrieve randomised controlled trials (RCTs), controlled clinical trials (CCTs) and prospective/retrospective cohort studies in human subjects that allowed direct comparison of vNOTES to laparoscopy. (3) Results: Our search yielded one RCT and five retrospective cohort trials. Pooled analysis of two subgroups showed that, compared to conventional laparoscopy, vNOTES is equally effective to successfully remove the uterus in individuals meeting the inclusion criteria. vNOTES had significantly lower values for operation time, length of stay and estimated blood loss. There was no significant difference in intra- and postoperative complications, readmission, pain scores at 24 h postoperative and change in hemoglobin (Hb) on day 1 postoperative. ispartof: JOURNAL OF CLINICAL MEDICINE vol:9 issue:12 ispartof: location:Switzerland status: published
- Published
- 2020
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