Evidence map›Paper›PMID 41268029›Full record

ReviewCureus2025

A Comparison of Clinical Outcomes Between Laparoscopic and Open Abdominal Myomectomy in Women With Multiple Symptomatic Uterine Fibroids: A Systematic Review and Meta-Analysis.

Shamaila Ibrahim, Bijendra Patel, Md Rezaul Karim

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

3 authors.

Shamaila IbrahimObstetrics and Gynecology, King's College Hospital, London, GBR.
Bijendra PatelSurgical Science, Barts Cancer Institute, Queen Mary University of London, London, GBR.
Md Rezaul KarimSurgery, The Royal London Hospital, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine fibroids are the most common benign tumors of the uterus, affecting millions of women worldwide. Laparoscopic myomectomy (LM) and open myomectomy (OM) are the two most common surgical modalities for treating uterine fibroids, particularly in women wishing to preserve their uterus. This systematic review and meta-analysis aims to compare intraoperative, postoperative, and obstetric outcomes of LM and OM in women with uterine fibroids. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive literature search was performed using PubMed, Embase, Web of Science, Scopus, Cochrane, Ovid platform, and Google Scholar. Data analysis was conducted using an Excel spreadsheet, and meta-analysis was performed on Review Manager (RevMan) version 5.4.1 (The Cochrane Collaboration, London, UK). Results were presented in the form of mean and standard deviation (SD), standardized mean difference (SMD), 95% confidence interval (CI), and risk ratio (RR). Heterogeneity (I²) was considered significant when it exceeded 50%. For the quality assessment of the risk of bias, ROBINS-I and RoB 2 tools were used. GRADEpro was used to generate the summary of findings tables for primary and secondary outcomes. Analysis was conducted on 14 published studies, comprising 12 non-randomized trials, mainly retrospective, and 2 randomized trials. The review included studies from 12 different countries, spanning from 2000 to 2024, involving a total of 3,828 women with uterine fibroids (1,879 LM, 1,949 OM). The age of participants ranged from 18 to 50 years (mean age: LM, 39.82 ± 4.02; OM, 35.61 ± 3.83). Key findings indicated that LM resulted in significantly less blood loss than OM (SMD 1.21), shorter hospital stay (SMD 1.76), and less postoperative hemoglobin drop (SMD 1.44). However, LM had a longer duration of surgery (MD = 12.29 minutes,

Indexed as

fibroid uterusfibroma or fibromyomainfertilitylaparoscopy* or minimally invasive or keyhole and open or laparotomy and myomectomy or fibroidectomy and myoma or fibroid or leiomyomaleiomyomaopen myomectomy or open abdominal myomectomyor laparotomy myomectomyor pregnancy

Identifiers

PMID41268029
PMCPMC12628120

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Registered trials

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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.