ArticleArchives of gynecology and obstetrics2023
Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques.
Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Non-Radical Hysterectomy on Urinary Functions: Evaluation of Symptoms-A Systematic Review and Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- Revisiting Urological Injury Risks in Minimally Invasive Hysterectomy for Benign Indications: A Rare-Events Network Meta-Analysis with Sensitivity Analyses.International urogynecology journal · 2026Article
- Impact of Opioid-Free Anesthesia Combined With Enhanced Recovery After Surgery Protocol on Postoperative Recovery Quality in Patients Undergoing Laparoscopic Total Hysterectomy.The journal of obstetrics and gynaecology research · 2026Article
- Single-Port surgical robot-assisted transvaginal natural orifice translumenal endoscopic surgery (v-NOTES) hysterectomy and double salpingectomy with pneumoperitoneum-free: surgical technique.Gynecology and pelvic medicine · 2026Article
- Sexual quality of life after hysterectomy performed by conventional laparoscopy versus Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in benign gynaecology.Facts, views & vision in ObGyn · 2025Article
- Post-radical hysterectomy ovarian torsion-A gynecological emergency: a case series.Journal of medical case reports · 2024Article
- Article
- Different minimally invasive surgical methods to hysterectomy for benign gynecological disease: A systematic review and network meta-analysis.Health science reports · 2024Review
- [Prevalence of unexpected malignant disease in the histopathology of hysterectomy indicated for benign condition].Revista colombiana de obstetricia y ginecologia · 2024Article
- Complex caesarean delivery.Case reports in women's health · 2024Article
- Peritoneal mesometrial resection with lymphadenectomy following prior hysterectomy in intermediate/high-risk endometrial cancer: feasibility and safety.Archives of gynecology and obstetrics · 2024Article
- Expanding Robotic-Assisted Surgery in Gynecology Using the Potential of an Advanced Robotic System.Medicina (Kaunas, Lithuania) · 2023Review
- A retrospective analysis of robot-assisted total hysterectomy by transvaginal natural orifice transluminal endoscopic surgery.Heliyon · 2023Article
- Hysterectomy: Let's Step Up the Ladder of Evidence to Look Over the Horizon.Journal of clinical medicine · 2022Article
- On-demand robotic surgery for hysterectomies: A combination of the best of robotic and laparoscopic approach.Women's health (London, England)Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMinimally invasive (MI) surgery has long been established as a standard for hysterectomy in benign conditions. Robotic surgery is generally seen as equivalent to conventional laparoscopy in terms of patient outcome. However, robotics might facilitate an MI approach even in complex patients, rendering laparotomy unnecessary for almost all patients. MATERIALS AND
methodsWe identified 1939 patients who underwent hysterectomy for benign conditions between 2002 and 2020 at the University Hospital of Essen. Peri- and postoperative data as well as patient characteristics were collected retrospectively.
resultsRobotic surgery, implemented at our institution in 2010, was the most common approach (n = 771; 39.8%). 60.2% of all hysterectomies (1168/1938) were performed using MI techniques. However, there was a significant shift in the methods used for hysterectomy over time. While in 2002 51.4% of all hysterectomies were performed via an open abdominal approach, this percentage dropped to 1.4% in the year 2020. Accordingly, the use of MI approaches increased from 18.9% in 2002 to 98.6% in 2020. The introduction of robotic surgery in 2010 marked a significant shift towards more MI procedures. MI surgery resulted in shorter hospital stay and less postoperative complications compared to laparotomy. On a special note, our cohort includes the largest uterus myomatous uterus in the scientific literature with a specimen weight of 54.8 kg.
conclusionOur data support the hypothesis that the implementation of robotic surgery leads to an improved capability to perform MI surgery and avoid laparotomy in almost all patients. The known benefits of MI surgery could be confirmed.
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.