Evidence map›Paper›PMID 28357561›Full record

SynthesisArchives of gynecology and obstetrics2017

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

Evelien M Sandberg, Claire F la Chapelle, Marjolein M van den Tweel, Jan W Schoones, Frank Willem Jansen

4 registry-linked trialsAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this 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
–field-weighted citation impact
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.

NCT03373513 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

Robotic-assisted Hysterectomy: Single- vs. Multi-port Laparoscopic Access

TypeinterventionalSponsorHerning HospitalRan2019 to 2022Enrolled0ConditionsActivity, Motor, Pain, WoundArmsRobotic single-site Hysterectomy, Laparoscopic hysterectomy
NCT03662451 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Single Site Versus Multi Site Robotic Hysterectomy

TypeinterventionalSponsorHerning HospitalRan2024 to 2026Enrolled0ConditionsRehabilitation, Pain, Postoperative, Wound InfectionArmsRobotic assisted hysterectomy
NCT04221308 completednot on this mapstarted 2018, after this paper: background citation

Evaluation of Inflammatory Markers in Single Port Laparoscopic and Vaginal Hysterectomies: A Retrospective Study in Kocaeli, Northwest Turkey

TypeobservationalSponsorDerince Training and Research HospitalRan2018 to 2019Enrolled134ConditionsGynecologic Disease, InflammationArmsSingle port laparoscopic systems
NCT05629611 narecruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety Evaluation of Advanced Vessel Sealing Device (Vi-sealer)

TypeinterventionalSponsorHyun ParkRan2023 to 2025Enrolled280ConditionsBenign Gynecologic NeoplasmArmsVi-Sealer, Ligasure, Other AHD
3 · Its place in the literature

Who cites it

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

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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

5 authors.

Evelien M SandbergDepartment of Gynecology, Minimally Invasive Surgery, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Claire F la ChapelleDepartment of Gynecology, Minimally Invasive Surgery, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Marjolein M van den TweelDepartment of Gynecology, Minimally Invasive Surgery, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Jan W SchoonesWalaeus Library, Leiden University Medical Center, Leiden, The Netherlands.
Frank Willem JansenDepartment of Gynecology, Minimally Invasive Surgery, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands. f.w.jansen@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

methodsThe 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.

resultsOf 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

conclusionThe single-port technique for benign hysterectomy is feasible, safe, and equally effective compared to the conventional technique. No clinically relevant advantages were identified, and as no data on cost effectiveness are available, there are currently not enough valid arguments to broadly implement LESS for hysterectomy.

Indexed as

Cohort StudiesFemaleHumansHysterectomyLaparoscopyMinimally Invasive Surgical ProceduresOdds RatioOperative TimePatient SatisfactionPostoperative ComplicationsPostoperative PainRandomized Controlled Trials as TopicConventional laparoscopyHysterectomyLESSSingle-port surgery

Identifiers

PMID28357561
PMCPMC5388711

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.