Minimally Invasive Hysterectomy: An Analysis of Different Techniques

To compare conventional minimally invasive (MIS) approaches and newer technology approaches in women undergoing hysterectomy for benign disease. PubMed was searched for all pertinent randomized-controlled trials (RCTs). Selected outcomes were compared using standard meta-analysis methods. Three RCTs...

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Bibliographic Details
Published inClinical obstetrics and gynecology Vol. 58; no. 4; p. 732
Main Authors Ridgeway, Beri M, Buechel, Megan, Nutter, Benjamin, Falcone, Tommaso
Format Journal Article
LanguageEnglish
Published United States 01.12.2015
Subjects
Female
Humans
Hysterectomy - methods
Laparoscopy - methods
Operative Time
Randomized Controlled Trials as Topic
Robotic Surgical Procedures
Uterine Diseases - surgery
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Summary:To compare conventional minimally invasive (MIS) approaches and newer technology approaches in women undergoing hysterectomy for benign disease. PubMed was searched for all pertinent randomized-controlled trials (RCTs). Selected outcomes were compared using standard meta-analysis methods. Three RCTs compared conventional MIS to robotic-assisted hysterectomy and 5 RCTs compared conventional laparoscopy to single-incision hysterectomy. There were no significant differences in outcomes. A subanalysis comparing conventional to robotic-assisted laparoscopy found an association between conventional laparoscopy and shorter operative time. Newer technology approaches do not confer an advantage over conventional MIS approaches in women undergoing hysterectomy for benign disease.
ISSN:1532-5520
DOI:10.1097/GRF.0000000000000149