Evidence map›Paper›PMID 26249236›Full record

SynthesisInternational urogynecology journal2016

Laparoscopic versus open sacrocolpopexy for treatment of prolapse of the apical segment of the vagina: a systematic review and meta-analysis.

Maribel De Gouveia De Sa, Leica Sarah Claydon, Barry Whitlow, Maria Angelica Dolcet Artahona

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Cosmesis and Body Image After Robotic Sacrocolpopexy.International urogynecology journal · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Maribel De Gouveia De SaFaculty of Medical Science, Anglia Ruskin University, Chelmsford, UK. maribeldgds@yahoo.es.
Leica Sarah ClaydonFaculty of Medical Science, Anglia Ruskin University, Chelmsford, UK.
Barry WhitlowFaculty of Medical Science, Anglia Ruskin University, Chelmsford, UK.
Maria Angelica Dolcet ArtahonaHospital Carlos J. Bello, Pelvic Reconstructive Surgeon, Caracas, Venezuela.
Anglia Ruskin University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPelvic organ prolapse is showing an increasing prevalence (3 - 50%). The gold standard treatment of apical prolapse is sacrocolpopexy which can be performed via minimal access (laparoscopy or robotics) or open approaches. The aim of this review was to appraise the effectiveness of minimal access surgery versus the open approach in the treatment of apical prolapse.

methodsKeywords were searched in: CINAHL, MEDLINE, CENTRAL, Cochrane MDSG Trials Register, Cochrane Library, Current Controlled Trials, ClinicalTrials.gov, WHO International Trials Registry Platform search portal, LILACS, and Google Scholar databases. Data up to 31 April 2014 were considered. Randomized and nonrandomized controlled trials evaluating all women who underwent minimally invasive sacropexy (MISC) and open sacropexy (OSC) were included. A data extraction tool was used for data collection. MISC was compared with OSC using narrative analysis and meta-analysis (RevMan) where appropriate.

resultsMISC and OSC were compared in 12 studies involving 4,757 participants. MISC and OSC were equally effective in terms of point-C POP-Q measurements and recurrence rate. MISC was associated with a lower transfusion rate (odds ratio 0.41, 95% CI 0.20 - 0.83), shorter length of hospital stay (mean difference -1.57 days, 95% CI -1.91 - -1.23 days), and less blood loss (mean difference -113.27 mL, 95% CI -163.67 - -62.87 mL) but a longer operating time (mean difference 87.47, 95% CI 58.60 - 116.34, p < 0.0001).

conclusionsMISC showed similar anatomic results to OSC with a lower transfusion rate, shorter length of hospital stay and less blood loss. The rate of other complications was similar between the approaches. Cautious interpretation of results is advised due to risk of bias caused by the inclusion of nonrandomized studies.

Indexed as

LaparoscopyControlled Clinical Trials as TopicFemaleGynecologic Surgical ProceduresHumansSacrumUterine ProlapseVaginaApical prolapseLaparoscopyRobotic surgerySacrocolpopexy

Identifiers

PMID26249236
OpenAlexW2099086861

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.