Evidence map›Paper›PMID 42005106›Full record

ReviewCureus2026

Laparoscopic Retrograde Hysterectomy: A Review of Techniques, Indications, and Outcomes.

Khalid M Akkour

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

1 author.

Khalid M AkkourObstetrics and Gynaecology, King Saud University, Faculty of Medicine, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic retrograde hysterectomy (LRH) represents an innovative minimally invasive approach for managing complex pelvic pathology where conventional techniques are contraindicated. This review synthesizes current evidence regarding its techniques, indications, and outcomes. LRH employs a strategic caudal-to-cephalad dissection, prioritizing early identification of ureters and uterine vessels before addressing fundal attachments. Primary indications include severe endometriosis with obliterated cul-de-sac, large uterine size (>300 g), multiple previous surgeries with dense adhesions, and distorted pelvic anatomy. Outcomes demonstrate significant advantages, including reduced conversion rates to laparotomy (0-2.9%), acceptable operative times (66-285 minutes), minimal blood loss (79-450 mL), and short hospital stays (two to six days). The technique maintains low complication rates (2.2-4.7%) despite challenging conditions. However, LRH requires advanced laparoscopic skills and has a substantial learning curve (~65 cases). Widespread adoption necessitates structured training programs and further comparative studies. LRH effectively expands minimally invasive options for complex gynecological surgery, demonstrating particular utility in frozen pelvis scenarios while preserving the benefits of laparoscopy.

Indexed as

frozen pelvislaparoscopic retrograde hysterectomylearning curveminimally invasive surgeryoperative outcomes

Identifiers

PMID42005106
PMCPMC13088647

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.