Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: a systematic review and meta-analysis.

ABSTRACT:

Purpose

To assess the safety and effectiveness of LESS compared to conventional hysterectomy.

Methods

The systematic review and meta-analysis was performed according to the MOOSE guideline, and quality of evidence was assessed using GRADE. Different databases were searched up to 4th of August 2016. Randomized controlled trials and cohort studies comparing LESS to the conventional laparoscopic hysterectomy were considered for inclusion.

Results

Of the 668 unique articles, 23 were found relevant. We investigated safety by analyzing the complication rate and found no significant differences between both groups [OR 0.94 (0.61, 1.44), I ² = 19%]. We assessed effectiveness by analyzing conversion risk, postoperative pain, and patient satisfaction. For conversion

SUBMITTER: Sandberg EM 

PROVIDER: S-EPMC5388711 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature