Effect of laparoscopic-assisted transvaginal hysterectomy on wound complications in patients with early stage cervical cancer : A meta-analysis

© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd..

Laparoscopic-assisted vaginal radical hysterectomy (LARVH) and abdominal radical hysterectomy (ARH) have been widely applied to treat cervical carcinoma. But LARVH and ARH have not been fully investigated in treating cervical carcinoma after injury associated with injury. This research is intended to provide an up-to-date basis for comparing LARVH with ARH in early stage cervical carcinoma. Comparison between LARVH and ARH in cervical carcinoma was carried out through a combination of related research. Eligible articles from databases such as PubMed and Embase were screened using an established search strategy. This report covered the results of LARVH versus ARH in cervical carcinoma. The average difference and the 95% confidence interval (CI) were used for the combination of consecutive variables. The combination of categorical variables was performed with the odds ratio (OR) 95% confidence interval. Through the identification of 1137 publications, eight of them were chosen to be analysed. Among them, 363 were treated with LARVH and 326 were treated with ARH. Eight trials showed that LARVH was associated with a reduced risk of postoperative wound infection than ARH (OR, 0.23; 95% CI, 0.1-0.55, p = 0.0009). Five trials showed that there was no difference in the risk of postoperative bleeding after surgery (OR, 1.17; 95% CI, 0.42-3.29, p = 0.76). We also did not differ significantly in the duration of the surgery (OR, 1.79; 95% CI, -6.58 to 10.15, p = 0.68). So, the two surgical methods differ significantly only in the risk of postoperative wound infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

International wound journal - 21(2024), 4 vom: 26. März, Seite e14529

Sprache:

Englisch

Beteiligte Personen:

Zhang, Jun [VerfasserIn]
Zhou, Yuanhong [VerfasserIn]
Ye, Hong [VerfasserIn]
Chen, Chuanqi [VerfasserIn]
Luo, Youzhen [VerfasserIn]

Links:

Volltext

Themen:

Cervical cancer
Haematoma
Journal Article
Meta-Analysis
Wound infection

Anmerkungen:

Date Completed 25.03.2024

Date Revised 26.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/iwj.14529

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365603619