Evidence map›Paper›PMID 33357218›Full record

Trial reportBMC women's health2020

Blood loss from transverse versus longitudinal uterine incision in abdominal myomectomy: a randomized controlled trial.

Alaa Elguindy, Hosam Hemeda, Mohamed Esmat Shawky, Mohamed Elsenity, Medhat Adel Elsayed, Ahmed Fahim, Khaled Afifi, Maii Nawara

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03009812 (Transverse Versus Longitudinal Uterine Incision in Abdominal Myomectomy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 38% 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.

NCT03009812 nacompletednot on this map

Transverse Versus Longitudinal Uterine Incision in Abdominal Myomectomy

TypeinterventionalSponsorAin Shams UniversityRan2017 to 2018Enrolled52ConditionsMyoma, UterusArmsLongitudinal uterine incision, Transverse uterine incision
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

8 authors at 1 institution in 1 country.

Alaa ElguindyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Hosam HemedaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Mohamed Esmat ShawkyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Mohamed ElsenityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Medhat Adel ElsayedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Ahmed FahimDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Khaled AfifiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt.
Maii NawaraDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Abbaseyya Square, Cairo, Egypt. maii_nawara@hotmail.com.ORCID 0000-0003-2443-9459
Ain Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear whether transverse uterine incision is non-inferior to longitudinal incision during myomectomy with regard to bleeding. Our aim was to compare between transverse and longitudinal uterine incisions in myomectomy.

methodsA parallel randomized controlled single-blinded study in a university affiliated hospital, in the period between January 2017 and April 2018, in which 52 women candidates for abdominal myomectomy were randomized into transverse uterine incision or longitudinal uterine incision groups (26 in each group). Intraoperative blood loss (estimated directly by blood volume in suction bottle and linen towels and indirectly by difference between preoperative and postoperative hematocrit), operative time and postoperative fever were analyzed.

resultsNo statistically significant difference was found between transverse and longitudinal incisions regarding intraoperative blood loss (389.7 ± 98.56 ml vs 485.04 ± 230.6 ml respectively, p value = 0.07), operative time (59.96 ± 16.78 min vs 66.58 ± 17.33 min respectively, p value = 0.18), and postoperative fever (4% vs 8.33%, p value = 0.6).

conclusionTransverse uterine incision does not cause more blood loss than longitudinal incision and is a reasonable option during abdominal myomectomy.

trial registrationNCT03009812 at clinicaltrials.gov, registered January 2017.

Indexed as

Blood Loss, SurgicalUterine MyomectomyAdultFemaleHumansPregnancyBlood lossLongitudinal uterine incisionMyomectomyRandomized controlled studyTransverse uterine incision

Identifiers

PMID33357218
PMCPMC7768654
OpenAlexW3114039559

What OpenQuestion holds

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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.