ArticleAmerican journal of obstetrics and gynecology2017
Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 Food and Drug Administration safety communications.
Article in American journal of obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- In-bag manual versus uncontained power morcellation for laparoscopic myomectomy.The Cochrane database of systematic reviews · 2020Pooled it
- Laparoscopic supracervical hysterectomy versus endometrial ablation for women with heavy menstrual bleeding (HEALTH): a parallel-group, open-label, randomised controlled trial.Lancet (London, England) · 2019Trial
- UTERINE FIBROIDS.Physiological reviews · 2025Review
- Efficacy of knotless barbed versus conventional sutures for uterine closure during cesarean section: A prospective comparative study.Bioinformation · 2025Article
- A four-gene signature identified by integrated transcriptomic analysis for differential diagnosis and prognosis of uterine smooth muscle tumors.Frontiers in oncology · 2025Article
- Clinicopathological and survival analysis for patients with uterine sarcoma treated following surgery for presumed benign disease.BMC cancer · 2024Article
- Opportunities for change and levelling up: a trust wide retrospective analysis of 8 years of laparoscopic and abdominal myomectomy.Facts, views & vision in ObGyn · 2024Article
- Potential Markers to Differentiate Uterine Leiomyosarcomas from Leiomyomas.International journal of medical sciences · 2024Review
- Case report: Magnetic resonance imaging findings of patients with diffuse uterine leiomyomatosis.Frontiers in oncology · 2024Article
- Prognostic factors and survival of patients with uterine sarcoma: a German unicenter analysis.Archives of gynecology and obstetrics · 2023Article
- The influence of persistent bleeding after supracervical hysterectomy on depressive and anxious symptoms: a prospective bicenter study.Archives of gynecology and obstetrics · 2022Article
- Technique for transvaginal removal of large specimen using an Alexis Contained Extraction System during laparoscopic hysterectomy.Obstetrics & gynecology science · 2022Article
- The influence of conventional and extended supracervical hysterectomy on sexuality and quality of life parameters: a prospective bi-center study with a special focus on postoperative spotting.Archives of gynecology and obstetrics · 2022Article
- Integrative Genomic and Transcriptomic Profiling Reveals a Differential Molecular Signature in Uterine Leiomyoma versus Leiomyosarcoma.International journal of molecular sciences · 2022Article
- Safety Warning about Laparoscopic Power Morcellation in Hysterectomy: A Cost-Effectiveness Analysis of National Impact.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Preclinical safety testing and initial experience of a morcellation bag with four sealable ports.Scientific reports · 2021Article
- The influence on resection line during supracervical hysterectomy: physiological extension of endometrial cells in the cervix uteriJournal of the Turkish German Gynecological Association · 2021Article
- Preoperative MRI and LDH in women undergoing intra-abdominal surgery for fibroids: Effect on surgical route.PloS one · 2021Article
- Association Between Power Morcellation and Mortality in Women With Unexpected Uterine Cancer Undergoing Hysterectomy or Myomectomy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019Article
- Incidence and groups at risk for unexpected uterine leiomyosarcoma: a Dutch nationwide cohort study.Archives of gynecology and obstetrics · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Previous decision analyses demonstrate the safety of minimally invasive hysterectomy for presumed benign fibroids, accounting for the risk of occult leiomyosarcoma and the differential mortality risk associated with laparotomy. Studies published since the 2014 Food and Drug Administration safety communications offer updated leiomyosarcoma incidence estimates. Incorporating these studies suggests that mortality rates are low following hysterectomy for presumed benign fibroids overall, and a minimally invasive approach remains a safe option. Risk associated with morcellation, however, increases in women age >50 years due to increased leiomyosarcoma rates, an important finding for patient-centered discussions of treatment options for fibroids.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.