scholarly journals Saúde Ocupacional aplicada à Dança

2020 ◽  
Vol 10 ◽  
pp. S172-S182
Author(s):  
Mónica Santos ◽  
Armando Almeida ◽  
Catarina Lopes
Keyword(s):  
Systematic Reviews ◽  
Full Text ◽  
Allied Health ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Cochrane Database ◽  
Central Register ◽  
Text Database

O setor da dança está pouco retratado em contexto de Saúde Ocupacional e a bibliografia é razoavelmente escassa. Neste setor o profissional pode apenas efetuar ensaios e atuações (a solo ou em equipa), pode dar aulas para eventuais futuros colegas e/ ou para leigos ou acumular ambas as vertentes. Trata-se de uma Revisão Bibliográfica, iniciada através de uma pesquisa realizada em agosto de 2020 nas bases de dados “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina e RCAAP”. A dança é uma arte complexa, cujo instrumento é o corpo. Conjuga movimento com a emoção, servindo também como forma de comunicação. Em alguns estilos de dança a rotina de treinos é muito exigente e competitiva, de forma a aperfeiçoar departamentos como força, resistência, velocidade, flexibilidade, equilíbrio e controlo. Aos treinos intensos, por vezes, associam-se algias e lesões concretas. Por exemplo, no Ballet clássico, a exigência técnica é muito elevada e desafiante e, na bibliografia selecionada, é certamente a dança mais estudada neste contexto. A escassa bibliografia encontrada incide sobretudo nas principais lesões associadas (quer acidentes de trabalho, quer doenças profissionais); sendo que alguns artigos também destacam o eventual consumo de substâncias psicoativas em algumas modalidades específicas. Os autores elaboraram uma descrição dos principais Fatores de Risco/ Riscos Laborais deste setor, no geral; bem como listaram as Medidas de Proteção (coletivas e individuais) que consideram ser mais adequadas. O setor da dança está muito pouco estudado pela Saúde Ocupacional, sendo pertinente a análise da realidade portuguesa, sobretudo em alguns estilos muito desenvolvidos no nosso país e sobre os quais não se encontrou qualquer bibliografia específica (mesmo em contexto internacional). PALAVRAS-CHAVE: dança, bailarino, saúde ocupacional e medicina do trabalho.

scholarly journals Contributo das terapias integrativas na sexualidade da mulher com neoplasia da mama: scoping review

2021 ◽  
Vol 4 (1) ◽  
pp. 99-110
Author(s):  
Filomena Paulo ◽  
Manuela Ferreira ◽  
Regilnaldo Filho
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Allied Health ◽  
Information Science ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Cochrane Database ◽  
Central Register

Enquadramento: o tratamento do cancro da mama traz consigo terapêuticas agressivas e invasivas, trazendo alterações a nível físico e psicológico que afetam a vida da mulher e a vivência da sua sexualidade. Objetivo: mapear o contributo das terapias integrativas na sexualidade da mulher com cancro da mama. Metodologia: a Scoping Review foi construída seguindo as recomendações da extensão PRISMA. A estratégia de pesquisa incluiu as bases de dados: CINAHL Complete; MEDLINE Complete; Nursing & Allied Health Collection: Comprehensive; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Cochrane Methodology Register; Library, Information Science & Technology Abstracts; MedicLatina, via EBSCOhost - Research Databases, Google Académico, PubMed, B-On, LILACS, MEDLINE e SCIELO. Foi definido como limite cronológico janeiro de 1999 a março de 2020. O corpus da revisão ficou constituído por cinco artigos científicos. Resultados: os estudos analisados são unânimes: demostrando que o recurso às terapias integrativas por parte das mulheres com cancro de mama, mastectomizadas, refletem em efeitos positivos na saúde das mesmas.  Conclusão: as terapias integrativas promovem nas mulheres, através da harmonia dos seus próprios recursos, trazendo efeitos positivos na vivência da sua sexualidade.

scholarly journals Protetores de ouvido e olhos na promoção do sono em cuidados intensivos

2018 ◽  
Vol 12 (10) ◽  
pp. 2784 ◽  
Author(s):  
João Vitor Vieira ◽  
Rogério Ferrinho Ferreira ◽  
Margarida Palma Goes
Keyword(s):  
Intensive Care ◽  
Systematic Reviews ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Levels Of Evidence ◽  
Protective Devices ◽  
Quantitative Studies ◽  
Cochrane Database ◽  
Central Register

RESUMOObjetivo: analisar a contribuição dos protetores auriculares e das máscaras oculares para a promoção do sono do doente admitido em cuidados intensivos. Método: revisão integrativa da literatura que conduziu à pesquisa no motor de busca EBSCOHost, nas bases de dados CINAHL Complete, MEDLINE Complete, Cochrane Central Register of Controlled Trials e Cochrane Database of Systematic Reviews, para a identificação de estudos publicados entre 2014 e 2018. Foram selecionados quatro ensaios controlados randomizados. Esta revisão considerou a recomendação PRISMA. Os níveis de evidência foram assegurados pelos níveis de evidência do The Joanna Briggs Institute e a qualidade metodológica foi analisada com recurso ao Clinical Appraisal Skills Programme. Resultados: todos os artigos selecionados apontam para os benefícios da utilização desses dispositivos para a promoção da qualidade do sono do doente em cuidados intensivos. Conclusão: pela segurança e benefícios associados a esses dispositivos, sugere-se a sua utilização para a promoção da qualidade do sono do doente em cuidados intensivos. No entanto, pela escassez de estudos sobre o tema e pelas limitações dos estudos analisados, sugere-se a realização de mais estudos quantitativos com amostras mais representativas. Descritores: Protetores para Ouvido; Dispositivos de Proteção dos Olhos; Sono; Cuidados Críticos; Delírio.ABSTRACT Objective: to analyze the contribution of ear protectors and eye masks to promote the sleep of the patient admitted to intensive care. Method: integrative review of the literature that led to the search in the EBSCOHost search engine, in the databases CINAHL Complete, MEDLINE Complete, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, for the identification of studies published between 2014 and 2018. Four randomized controlled trials were selected. This review considered the PRISMA recommendation. Levels of evidence were secured by the levels of evidence from The Joanna Briggs Institute and methodological quality was analyzed using the Clinical Appraisal Skills Program. Results: all articles selected, point to the benefits of using these devices to promote the quality of sleep of the patient in intensive care. Conclusion: due to the safety and benefits associated with these devices, it is suggested that they be used to promote the quality of the patient's sleep in intensive care. However, due to the scarcity of studies on the subject and the limitations of the studies analyzed, it is suggested that more quantitative studies with more representative samples be carried out. Descritores: Ear Protective Devices; Eye Protective Devices; Sleep; Critical Care; Delirium.RESUMEN Objetivo: analizar la contribución de los protectores auriculares y de las máscaras oculares para la promoción del sueño del enfermo admitido en cuidados intensivos. Método: revisión integrativa de la literatura que condujo a la investigación en el motor de búsqueda EBSCOHost, en las bases de datos CINAHL Complete, MEDLINE Complete, Cochrane Central Register de Controlled Trials y Cochrane Database of Systematic Reviews, para la identificación de estudios publicados entre 2014 y 2018. Se seleccionaron cuatro ensayos controlados aleatorizados. Esta revisión consideró la recomendación PRISMA. Los niveles de evidencia fueron asegurados por los niveles de evidencia del The Joanna Briggs Institute y la calidad metodológica fue analizada con recurso al Clinical Appraisal Skills Programme. Resultados: todos los artículos seleccionados apuntan a los beneficios de la utilización de estos dispositivos para la promoción de la calidad del sueño del enfermo en cuidados intensivos. Conclusión: por la seguridad y los beneficios asociados a estos dispositivos, se sugiere su utilización para la promoción de la calidad del sueño del paciente en cuidados intensivos. Sin embargo, por la escasez de estudios sobre el tema y las limitaciones de los estudios analizados, se sugiere realizar más estudios cuantitativos con muestras más representativas. Descritores: Dispositivos de Protectores de Oídos; Dispositivos de Protección de los Ojos; Sueño; Cuidados Críticos; Delirio.

scholarly journals Effects of moxibustion on symptoms of mild cognitive impairment: protocol of a systematic review and meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e033910 ◽  
Author(s):  
Tao Zhang ◽  
Lin-Peng Wang ◽  
Gui-Ling Wang ◽  
Jing-Qing Sun ◽  
Xue-Wen Mao ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Full Text ◽  
Evaluation System ◽  
Risk Of Bias ◽  
Assessment Tools ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Age Related ◽  
Text Database

IntroductionMild cognitive impairment (MCI) is considered the intermediate phase between normal age-related cognitive decline and dementia. Moxibustion has gained increased popularity for the management of MCI in China.This study aimed to evaluate the effects and safety of moxibustion on symptoms of MCI.Methods and analysisFour English databases and six Chinese databases will be searched from their inception to October 2019: Embase, MEDLINE, Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine Database, China National Knowledge Infrastructure, Chongqing VIP Chinese Science and Technology Periodical Database, Wanfang Database, SinoMed, China Doctoral Dissertations Full-text Database and the China Master’s Theses Full-text Database. Only clinical randomised controlled trials and the first period in randomised cross-over trial related to moxibustion for MCI will be included. The primary outcomes include the improvement of cognitive function, as measured by validated assessment tools. The secondary outcomes include changes in the activity of daily living scale, effective rate and the incidences of adverse events. The selection of studies, data extraction and risk of bias assessment will be carried out by two independent reviewers. Review Manager V.5.3 software will be used for statistical analyses. Heterogeneity test, data synthesis and subgroup analysis will be performed if necessary. The risk of bias of included studies will be assessed by theCochrane Handbookrisk of bias tool. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system.Ethics and disseminationEthics approval is not required as no private information from individuals are collected. The results will be published in a peer-reviewed journal or disseminated in relevant conferences.Trial registration numberCRD42018112657.

Tatuadores: principais Fatores de Risco e Riscos Laborais, Doenças Profissionais associadas e Medidas de Proteção recomendadas

2020 ◽  
Vol 10 ◽  
pp. 1-58
Author(s):  
Mónica Santos
Keyword(s):  
Risk Factors ◽  
Full Text ◽  
Cochrane Central Register ◽  
Protection Measures ◽  
Implementation Phase ◽  
Occupational Risks ◽  
Cochrane Database ◽  
Central Register ◽  
Safe Work ◽  
Individual Protection

Introduction/ objectives Over the last few decades getting tattoos has been progressively better accepted by society in most countries; thus, the number of establishments and professionals in the area has also increased. However, since it is a recent activity and with heterogeneous norms/ licensing, these individuals often escape the evaluation by Occupational Health. The literature on this subject is scarce. This review was intended to characterize the profession of tattoo artist with regard to: vocational training; main risk factors/ occupational risks; more prevalent semiology and associated major diseases; work accidents; collective/ individual protection measures adopted and associated legislation. Methodology This is a Scoping Review, initiated through a survey conducted in April 2019 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: Comprehensive, MedicLatina, Academic Search Ultimate, Science Direct, Web of Science, SCOPUS and RCAAP. Content In most countries, a person can work in the area without having specific qualifications; the products can be purchased via internet and the rules for opening the establishment vary locally. Given the absence of norms that parameterize the necessary qualifications to exercise, the same happens in the process of teaching in this sector. The main occupational risks/ risk factors are the quimical and biological agents, vibrations, noise, forced/ maintained postures, repetitive movements, visual effort, handling needles and sharps and prolonged shifts. Musculoskeletal semiology is very prevalent. Discussion / Conclusions / Limitations / Projects for the Future The risk factors are very similar to other professional sectors, such as dental medicine, which has already been studied in detail. Most of the few published documents on Tattoo Artists have a simplistic methodology and the samples are small. In addition, the absence of uniform labor standards and licensing undermines safe work. It would be very important that these arise and be progressively perfected. In a post-implementation phase, it would be desirable to have an institution with the capacity and authority to monitor compliance and to require the correction of identified problems. Similarly, it would also be interesting if the education process were also formalized and compulsory, perhaps starting at a technical level and evolving (if the progression of the sector allows or requires), to other degree.

scholarly journals Recommendations for active correction of hypernatremia in volume-resuscitated shock or sepsis patients should be taken with a grain of salt: A systematic review

2018 ◽  
Vol 6 ◽  
pp. 205031211876204 ◽  
Author(s):  
Joseph W Quinn ◽  
Kerry Sewell ◽  
Dell E Simmons
Keyword(s):  
Critically Ill ◽  
Reference Lists ◽  
Free Water ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Data Synthesis ◽  
Cochrane Database ◽  
Central Register ◽  
Resuscitated Patients ◽  
The Impact

Background: Healthcare-acquired hypernatremia (serum sodium >145 mEq/dL) is common among critically ill and other hospitalized patients and is usually treated with hypotonic fluid and/or diuretics to correct a “free water deficit.” However, many hypernatremic patients are eu- or hypervolemic, and an evolving body of literature emphasizes the importance of rapidly returning critically ill patients to a neutral fluid balance after resuscitation. Objective: We searched for any randomized- or observational-controlled studies evaluating the impact of active interventions intended to correct hypernatremia to eunatremia on any outcome in volume-resuscitated patients with shock and/or sepsis. Data sources: We performed a systematic literature search with studies identified by searching MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, ClinicalTrials.gov , Index-Catalogue of the Library of the Surgeon General’s Office, DARE (Database of Reviews of Effects), and CINAHL and scanning reference lists of relevant articles with abstracts published in English. Data synthesis: We found no randomized- or observational-controlled trials measuring the impact of active correction of hypernatremia on any outcome in resuscitated patients. Conclusion: Recommendations for active correction of hypernatremia in resuscitated patients with sepsis or shock are unsupported by clinical research acceptable by modern evidence standards.

scholarly journals “Restauraciones de lesiones cervicales no cariosas: un protocolo de revisión sistemática para la práctica clínica”.

2018 ◽  
Vol 43 (2) ◽  
pp. 33-41
Author(s):  
Duniel Ricardo Ortuño Borroto ◽  
Beatriz Mellado ◽  
Sebastián Prado ◽  
Juan Pablo Vargas ◽  
Gabriel Rada
Keyword(s):  
Systematic Reviews ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Central Register ◽  
Revisión Sistemática ◽  
Meta Analyses

Introducción: Las lesiones cervicales no cariosas son condiciones patológicas no bacterianas localizadas en el límite amelocementario de los dientes. Los principales biomateriales descritos para el tratamiento restaurador de estas lesiones son: vidrios ionómeros, vidrios ionómeros modificados con resinas, compómeros y resinas compuestas. El objetivo de este protocolo, consiste en establecer los elementos metodológicos de una revisión sistemática que evaluará el comportamiento clínico de restauraciones cervicales realizadas con estos biomateriales. Métodos: El protocolo fue diseñado, y será reportado, en línea con Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P 2015). Se realizará una búsqueda sensible en MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials y ClinicalTrials.gov, sin restricción por lenguaje o publicación, para identificar ensayos controlados aleatorizados que comparen dos o más tratamientos restauradores en lesiones cervicales no cariosas. Los desenlaces a evaluar serán la retención de las restauraciones y caries secundaria, según criterios RYGE/USPHS. Al menos dos investigadores realizarán de manera independiente la selección de los ensayos y la extracción de los datos. El riesgo de sesgo será evaluado utilizando la herramienta recomendada por la colaboración Cochrane. Si es posible, se realizará un metanálisis y los datos serán presentados en tablas de resúmenes de resultados mediante el método Grading of Recommendations Assesment, Development and Evaluation (GRADE). Fortalezas y debilidades: Esta revisión sistemática entregará evidencia actualizada sobre el comportamiento de cuatro biomateriales en el tratamiento de lesiones cervicales no cariosas. La principal limitación proviene de la baja cantidad o deficiencias metodológicas de los estudios primarios. Número de registro (PROSPERO): CRD42017071114.

scholarly journals Community-based intervention programs for adults with addictive behaviors - A Scoping Review Protocol

2020 ◽  
Author(s):  
Paula Enes de Oliveira ◽  
Carlos Sequeira ◽  
Núria Albacar Riobocó ◽  
Francisco Miguel Correia Sampaio
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Full Text ◽  
Negative Impact ◽  
Community Context ◽  
Cochrane Central Register ◽  
Addictive Behaviors ◽  
Data Synthesis ◽  
Central Register ◽  
Review Protocol

Introduction – Addictive behavior can be defined by a person's compulsion to engage in a continuous activity or behavior, despite the negative impact on their ability to remain mentally and/or physically healthy and functional in the home and community. The person may find the behavior rewarding psychologically and be satisfied while involved in the activity, but later he may feel guilt, remorseful or even be overwhelmed by the consequences of this choice on an ongoing basis1. Addressing this complexity requires multidisciplinary approaches and a range of responses and devices that, articulately and congruently, act in the various aspects of this phenomenon.Objective – This review aims to map programs or interventions in a community context with an impact on the cessation / reduction of addictive behaviors in adults, as well as to identify the characteristics of the participants and the contexts of implementation.Inclusion criteria – Will be considered published and unpublished primary and secondary studies on programs/interventions with an impact on the cessation/reduction of addictive tolls in adults between 18 and 40 years of age in community context, written in Portuguese, Spanish, or English, between 2013 and 2019.Methods – The Scoping Review will be carried out in accordance with the guidelines of the Joanna Briggs Institute and PRISMA-ScR. From the objective and research questions, the databases and research repositories will be selected, CINAHL Plus with full text (via EBSCO) and MEDLINE with full text (via PubMed), SciELO, Scopus JBI Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Systematic Reviews and Scientific Repositories; OpenGrey (European repository) and Open Access Scientific Repository of Portugal (Portuguese repository) using all pre-defined Boolean keywords, terms and expressions, to identify studies with inclusion criteria. Duplicate documents will be deleted. The selection of articles will be made by two reviewers independently by reading the title, abstract and full text. The extraction and synthesis of the data will also be performed by two reviewers independently through the analysis grid previously created for this purpose, based on the model of the Joanna Briggs Institute. The data synthesis will be presented in a narrative and table format.

scholarly journals Community-based intervention programs for adults with addictive behaviors - A Scoping Review Protocol

2020 ◽  
Author(s):  
Paula Enes de Oliveira ◽  
Carlos Sequeira ◽  
Núria Albacar Riobocó ◽  
Francisco Miguel Correia Sampaio
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Full Text ◽  
Negative Impact ◽  
Community Context ◽  
Cochrane Central Register ◽  
Addictive Behaviors ◽  
Data Synthesis ◽  
Central Register ◽  
Review Protocol

Introduction – Addictive behavior can be defined by a person's compulsion to engage in a continuous activity or behavior, despite the negative impact on their ability to remain mentally and/or physically healthy and functional in the home and community. The person may find the behavior rewarding psychologically and be satisfied while involved in the activity, but later he may feel guilt, remorseful or even be overwhelmed by the consequences of this choice on an ongoing basis1. Addressing this complexity requires multidisciplinary approaches and a range of responses and devices that, articulately and congruently, act in the various aspects of this phenomenon.Objective – This review aims to map programs or interventions in a community context with an impact on the cessation / reduction of addictive behaviors in adults, as well as to identify the characteristics of the participants and the contexts of implementation.Inclusion criteria – Will be considered published and unpublished primary and secondary studies on programs/interventions with an impact on the cessation/reduction of addictive tolls in adults between 18 and 40 years of age in community context, written in Portuguese, Spanish, or English, between 2013 and 2019.Methods – The Scoping Review will be carried out in accordance with the guidelines of the Joanna Briggs Institute and PRISMA-ScR. From the objective and research questions, the databases and research repositories will be selected, CINAHL Plus with full text (via EBSCO) and MEDLINE with full text (via PubMed), SciELO, Scopus JBI Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Systematic Reviews and Scientific Repositories; OpenGrey (European repository) and Open Access Scientific Repository of Portugal (Portuguese repository) using all pre-defined Boolean keywords, terms and expressions, to identify studies with inclusion criteria. Duplicate documents will be deleted. The selection of articles will be made by two reviewers independently by reading the title, abstract and full text. The extraction and synthesis of the data will also be performed by two reviewers independently through the analysis grid previously created for this purpose, based on the model of the Joanna Briggs Institute. The data synthesis will be presented in a narrative and table format.

scholarly journals Laparoscopic versus open cholecystectomy

2018 ◽  
Vol 5 (6) ◽  
pp. 2217
Author(s):  
Norah Ahmed Al Mallohi ◽  
Moatez Khalaf Almofarreh ◽  
Basil Abdalruhman Alfarrah ◽  
Mohammed Basheer Albalbisi ◽  
Abdulrahim Mohammed Alamoudi ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Large Scale ◽  
Meta Analysis ◽  
Open Cholecystectomy ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Respiratory Complications ◽  
Laparoscopic Operation ◽  
Cochrane Database ◽  
Central Register

Background: Laparoscopic cholecystectomy has promptly emerged as a popular alternative to traditional open laparotomy and cholecystectomy. The Objective of the current meta-analysis is to evaluate the effect of Laparoscopic versus open cholecystectomy.Methods: We conducted this meta-analysis using a comprehensive search of Cochrane database of systematic reviews, PubMed, Medline, EMBASE, and Cochrane central register of controlled trials till 15 March 2018 for studies that evaluated laparoscopic versus open cholecystectomy.Results: Eleven studies have been included with a total of 80691 patients: 41485 in the laparoscopic and 39206 into the open cholecystectomy groups. Odds ratios were regularly on the side of laparoscopic operation, in terms of respiratory complications (OR=0.32, 95%CI: 0.34-2.64, p<0.0001), mortality (OR=0.19, 95%CI: 0.08-1.05, p<0.0001), and morbidity (OR=0.31, 95%CI: 0.11-0.45, p<0.0001).Conclusions: Using laparoscopic cholecystectomy decreased morbidity, mortality, and respiratory complications rates. Large-scale and long-term randomized controlled trials in various populations must be carried out in future studies to deliver more significant evidence.

scholarly journals Preemptive local analgesia at vaginal hysterectomy: a systematic review

2021 ◽  
Author(s):  
Nadja Taumberger ◽  
Anna-Maria Schütz ◽  
Klaus Jeitler ◽  
Andrea Siebenhofer ◽  
Holger Simonis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postoperative Pain ◽  
Systematic Reviews ◽  
Vaginal Hysterectomy ◽  
Preemptive Analgesia ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Local Analgesia ◽  
Cochrane Database ◽  
Full Text Review

Abstract Introduction and hypothesis We conducted a systematic review of the effectiveness of local preemptive analgesia for postoperative pain control in women undergoing vaginal hysterectomy. Methods MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews were searched systematically to identify eligible studies published through September 25, 2019. Only randomized controlled trials and systematic reviews addressing local preemptive analgesia compared to placebo at vaginal hysterectomy were considered. Data were extracted by two independent reviewers. Results were compared, and disagreement was resolved by discussion. Forty-seven studies met inclusion criteria for full-text review. Four RCTs, including a total of 197 patients, and two SRs were included in the review. Results Preemptive local analgesia reduced postoperative pain scores up to 6 h and postoperative opioid requirements in the first 24 h after surgery. Conclusion Preemptive local analgesia at vaginal hysterectomy results in less postoperative pain and less postoperative opioid consumption.

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