A systematic review and meta-analysis of laparotomy compared with laparoscopic management of interstitial pregnancy.
Abstract | BACKGROUND: SEARCH STRATEGY: We searched PubMed, Scopus, Web of Science, and Cochrane up to May 2020. SELECTION CRITERIA: 1) Women with interstitial pregnancy, 2) Intervention: laparoscopic surgery, 3) Comparator: open surgery, 4) Outcomes: Hospital stay, operation time, pain scale, blood loss. Secondary outcomes: any other reported 5) Study designs: interventional and observational. DATA COLLECTION AND ANALYSIS: Data was extracted from the relevant articles and was pooled as mean difference (MD) or relative risk (RR) with a 95% confidence interval (CI). MAIN RESULTS: We included six studies, three of which provided eligible data. The duration of hospital stay was lower in the laparoscopic surgery group (MD = -1.42, 95% CI [-1.72, -0.76], P < 0.0001). There was no significant difference in operative time (MD = 5.90, 95% CI [-11.30, 23.09], P = 0.50, blood loss (MD = -9.43, 95% CI [-214.18, 195.32], P = 0.93), complications (RR = 1.54, 95% CI [0.20, 11.85], P = 0.68), or blood transfusions (RR = 0.77, 95% CI [0.50, 1.25], P = 0.30). CONCLUSION:
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Authors | G Marchand, A Taher Masoud, K Sainz, A Azadi, K Ware, J Vallejo, S Anderson, A King, A Osborn, S Ruther, G Brazil, K Cieminski, S Hopewell, L Rials, D Jenks, A Steele, J Love |
Journal | Facts, views & vision in ObGyn
(Facts Views Vis Obgyn)
Vol. 12
Issue 4
Pg. 299-308
(Jan 08 2021)
ISSN: 2032-0418 [Print] Belgium |
PMID | 33575679
(Publication Type: Systematic Review)
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Copyright | Copyright © 2020 Facts, Views & Vision. |
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