The great debate: Surgical outcomes of laparoscopic versus laparotomic myomectomy. A meta-analysis to critically evaluate current evidence and look over the horizon

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 297; pp. 50 - 58
• Main Authors: Giannini, Andrea, Cuccu, Ilaria, D'Auge, Tullio Golia, De Angelis, Emanuele, Laganà, Antonio Simone, Chiantera, Vito, Caserta, Donatella, Vitale, Salvatore Giovanni, Muzii, Ludovico, D'Oria, Ottavia, Perniola, Giorgia, Bogani, Giorgio, Di Donato, Violante
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01.06.2024
• Subjects: Blood Loss, Surgical - statistics & numerical data; Female; Humans; Laparoscopy; Laparoscopy - adverse effects; Laparoscopy - methods; Laparotomy; Laparotomy - adverse effects; Laparotomy - methods; Leiomyoma - surgery; Length of Stay - statistics & numerical data; Obstetrics and Gynecology; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Pregnancy; Treatment Outcome; Uterine Leiomyomas; Uterine Myomectomy; Uterine Myomectomy - adverse effects; Uterine Myomectomy - methods; Uterine Neoplasms - surgery; Uterine Leiomyomas; OR; CI; UL; MeSH; VAS; Laparoscopy; FIGO; SMD; Uterine Myomectomy; Laparotomy; BMI; Uterine leiomyomas; Standardized mean difference; Confidence interval; Visual analog scale; Body mass index; International Federation of Gynecology and Obstetrics; Odds ratio; Medical Subject Headings

•Laparoscopic myomectomy offers multiple benefits, including reduced blood loss, shorter hospital stays, and less postoperative analgesic need.•The intra-operative or post-operative complications rate are similar between laparoscopic and laparotomic myomectomy.•Laparoscopic approach could be a valid...