scholarly journals A Systematic Review and Meta-Analysis of Intraperitoneal Bupivacaine in Laparoscopic Gynecologic Surgery

2021 ◽  
Vol Volume 14 ◽  
pp. 2699-2707
Author(s):  
Greg Marchand ◽  
Kelly Ware ◽  
Malini Govindan ◽  
Ahmed T Masoud ◽  
Alexa King ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Gynecologic Surgery ◽  
Intraperitoneal Bupivacaine ◽  
Laparoscopic Gynecologic Surgery

scholarly journals Efficacy of pre-operative pharmacologic thromboprophylaxis on incidence of venous thromboembolism following major gynecologic and gynecologic oncology surgery: a systematic review and meta-analysis

2020 ◽  
pp. ijgc-2020-001991
Author(s):  
Steven Bisch ◽  
Rachelle Findley ◽  
Christina Ince ◽  
Maria Nardell ◽  
Gregg Nelson
Keyword(s):  
Systematic Review ◽  
Venous Thromboembolism ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Gynecologic Oncology ◽  
Quality Data ◽  
Gynecologic Surgery ◽  
Cochrane Central Register ◽  
Pharmacologic Prophylaxis ◽  
Pharmacologic Thromboprophylaxis

IntroductionVenous thromboembolism remains a significant complication following major gynecologic surgery. Evidence is lacking on whether it is beneficial to give pharmacologic thromboprophylaxis pre-operatively. The aim of this meta-analysis was to assess the role of pre-operative pharmacologic thromboprophylaxis in preventing post-operative venous thromboembolism.MethodsPubMed, EMBASE, and the Cochrane Central Register of Clinical Trials were searched to find randomized controlled, cohort, and case–control trials comparing pre-operative pharmacologic thromboprophylaxis to no prophylaxis, mechanical prophylaxis, or only post-operative pharmacologic thromboprophylaxis for open and minimally invasive major gynecologic surgery (benign and malignant conditions). Two authors independently assessed abstracts, full-text articles, and methodological quality. Data were extracted and pooled using ORs for random effects meta-analysis. Heterogeneity was explored using forest plots, Q-statistic, and I2 statistics. Planned subgroup analysis of use of sequential compression devices, equivalent versus non-equivalent post-operative prophylaxis, cancer diagnosis, and methodological quality were performed.ResultsSome 503 unique studies were found, and 16 studies (28 806 patients) were included in the systematic review. Twelve studies (14 273 patients) were included in the meta-analysis. The OR for incidence of post-operative venous thromboembolism was 0.59 (95% CI 0.39, 0.89), favoring pre-operative pharmacologic thromboembolism prophylaxis compared with no pre-operative pharmacologic prophylaxis (Q=13.80, I2=20.30). In studies where post-operative care was equivalent between groups, the OR for venous thromboembolism was 0.56 (95% CI 0.22, 1.40). Pre-operative pharmacologic prophylaxis demonstrated greatest benefit when utilized with both intra-operative and post-operative sequential compression devices (OR 0.43, 95% CI 0.30, 0.64) compared with when no sequential compression devices were utilized (OR 1.27, 95% CI 0.63, 2.56). When looking at only studies determined to be of high quality, the results no longer reached significance (OR 0.73, 95% CI 0.36, 1.46).ConclusionsPre-operative pharmacologic thromboprophylaxis decreases the odds of venous thromboembolism in the peri-operative period for major gynecologic oncology surgery by approximately 40%. It remains unclear whether this benefit is present in benign and minor procedures. Adequately powered studies are needed.

scholarly journals Efficacy of intermittent pneumatic compression for venous thromboembolism prophylaxis in patients undergoing gynecologic surgery: A systematic review and meta-analysis

Oncotarget ◽  
2016 ◽  
Vol 8 (12) ◽  
pp. 20371-20379 ◽  
Author(s):  
Jian-Ping Feng ◽  
Yu-Ting Xiong ◽  
Zi-Qi Fan ◽  
Li-Jie Yan ◽  
Jing-Yun Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Venous Thromboembolism ◽  
Meta Analysis ◽  
Intermittent Pneumatic Compression ◽  
Gynecologic Surgery ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis

The robotic single-port platform for gynecologic surgery: a systematic review of the literature and meta-analysis

2020 ◽  
Author(s):  
Vito Andrea Capozzi ◽  
Giulia Armano ◽  
Andrea Rosati ◽  
Alessandro Tropea ◽  
Antonio Biondi
Keyword(s):  
Systematic Review ◽  
Single Port ◽  
Meta Analysis ◽  
Gynecologic Surgery ◽  
Review Of The Literature

scholarly journals Enhanced recovery pathways in abdominal gynecologic surgery: a systematic review and meta-analysis

2015 ◽  
Vol 95 (4) ◽  
pp. 382-395 ◽  
Author(s):  
Jeanny J.A. de Groot ◽  
Stephanie M.C. Ament ◽  
José M.C. Maessen ◽  
Cornelis H.C. Dejong ◽  
Jos M.P. Kleijnen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Gynecologic Surgery ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

scholarly journals Mortality Rates in Benign Laparoscopic and Robotic Gynecologic Surgery: A Systematic Review and Meta-analysis

2020 ◽  
Vol 27 (3) ◽  
pp. 603-612.e1
Author(s):  
Sadikah Behbehani ◽  
Elena Suarez-Salvador ◽  
Matthew Buras ◽  
Paul Magtibay ◽  
Javier Magrina
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mortality Rates ◽  
Gynecologic Surgery

scholarly journals Management, Prevention, and Sequelae of Adhesions in Women Undergoing Laparoscopic Gynecologic Surgery: A Systematic Review

2018 ◽  
Vol 25 (7) ◽  
pp. 1194-1216 ◽  
Author(s):  
Sara Farag ◽  
Pamela Frazzini Padilla ◽  
Katherine A. Smith ◽  
Michael L. Sprague ◽  
Stephen E. Zimberg
Keyword(s):  
Systematic Review ◽  
Gynecologic Surgery ◽  
Laparoscopic Gynecologic Surgery
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