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Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review

PURPOSE: The objective of this meta-analysis is to investigate and compare the pregnancy outcomes of laparoscopy and open surgery in the treatment of ovarian tumors during pregnancy. METHODS: Search was conducted using MEDLINE, EMBASE, and Cochrane Databases from January 1990 to November 2018. A bro...

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Autores principales: Ye, Piaopiao, Zhao, Na, Shu, Jing, Shen, Heping, Wang, Yanpeng, Chen, Lifeng, Yan, Xiaojian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394438/
https://www.ncbi.nlm.nih.gov/pubmed/30706184
http://dx.doi.org/10.1007/s00404-018-05039-y
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author Ye, Piaopiao
Zhao, Na
Shu, Jing
Shen, Heping
Wang, Yanpeng
Chen, Lifeng
Yan, Xiaojian
author_facet Ye, Piaopiao
Zhao, Na
Shu, Jing
Shen, Heping
Wang, Yanpeng
Chen, Lifeng
Yan, Xiaojian
author_sort Ye, Piaopiao
collection PubMed
description PURPOSE: The objective of this meta-analysis is to investigate and compare the pregnancy outcomes of laparoscopy and open surgery in the treatment of ovarian tumors during pregnancy. METHODS: Search was conducted using MEDLINE, EMBASE, and Cochrane Databases from January 1990 to November 2018. A broad search strategy was used to identify studies comparing laparoscopy and open surgery in pregnancy. Inclusion criteria included comparative studies with the quantitative outcome data on gravida. Two authors independently reviewed and assessed for the quality of included studies according to the Newcastle–Ottawa Scale. Data were extracted for fetal loss, preterm delivery, duration of surgery, blood loss and length of hospital stay. RESULTS: Nine retrospective trials were identified involving 985 patients. No statistical significance was found in fetal loss between laparoscopy and open surgery (P value = 0.334). The pooled estimate for preterm labor statistically significantly decreased for laparoscopy group (P value = 0.014). Reduced operative blood loss was found in laparoscopy group by 83.81 ml (P value = 0.015). Duration of operation may be longer in the laparoscopy group, but without statistical significance (P value = 0.346). Length of hospital stay was shorter in the laparoscopy group with reduction of 1.95 days (P value < 0.001). CONCLUSIONS: The available low-grade evidence suggests that laparoscopic surgery might be a feasible alternative for pregnant women with adnexal masses.
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spelling pubmed-63944382019-03-15 Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review Ye, Piaopiao Zhao, Na Shu, Jing Shen, Heping Wang, Yanpeng Chen, Lifeng Yan, Xiaojian Arch Gynecol Obstet Review PURPOSE: The objective of this meta-analysis is to investigate and compare the pregnancy outcomes of laparoscopy and open surgery in the treatment of ovarian tumors during pregnancy. METHODS: Search was conducted using MEDLINE, EMBASE, and Cochrane Databases from January 1990 to November 2018. A broad search strategy was used to identify studies comparing laparoscopy and open surgery in pregnancy. Inclusion criteria included comparative studies with the quantitative outcome data on gravida. Two authors independently reviewed and assessed for the quality of included studies according to the Newcastle–Ottawa Scale. Data were extracted for fetal loss, preterm delivery, duration of surgery, blood loss and length of hospital stay. RESULTS: Nine retrospective trials were identified involving 985 patients. No statistical significance was found in fetal loss between laparoscopy and open surgery (P value = 0.334). The pooled estimate for preterm labor statistically significantly decreased for laparoscopy group (P value = 0.014). Reduced operative blood loss was found in laparoscopy group by 83.81 ml (P value = 0.015). Duration of operation may be longer in the laparoscopy group, but without statistical significance (P value = 0.346). Length of hospital stay was shorter in the laparoscopy group with reduction of 1.95 days (P value < 0.001). CONCLUSIONS: The available low-grade evidence suggests that laparoscopic surgery might be a feasible alternative for pregnant women with adnexal masses. Springer Berlin Heidelberg 2019-01-31 2019 /pmc/articles/PMC6394438/ /pubmed/30706184 http://dx.doi.org/10.1007/s00404-018-05039-y Text en © The Author(s) 2019, corrected publication 2019 OpenAccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Ye, Piaopiao
Zhao, Na
Shu, Jing
Shen, Heping
Wang, Yanpeng
Chen, Lifeng
Yan, Xiaojian
Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title_full Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title_fullStr Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title_full_unstemmed Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title_short Laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
title_sort laparoscopy versus open surgery for adnexal masses in pregnancy: a meta-analytic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394438/
https://www.ncbi.nlm.nih.gov/pubmed/30706184
http://dx.doi.org/10.1007/s00404-018-05039-y
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