Jiwon Baek, Heejung Kim, Seongmi Choi, Soyun Hong, Yesol Kim, Eunkyung Kim, Taewha Lee, Sang Hui Chu, JiYeon Choi
Digital Literacy and Associated Factors in Older Adults Living in Urban South Korea: A Qualitative Study
Computers, informatics, nursing : CIN
complications myomectomy generally rare highly dependent surgeons skills selection patients haemorrhage direct injury postoperative pain fever present intra perioperative complications adhesions considered late complications 21 rcts 15 metaanalyses conducted date last comprehensive metaanalysis published 2009 main disadvantage previous metaanalysis included incomplete selection studies inclusion studies small sample sizes major heterogeneity methods used studies aim metaanalysis comparing laparoscopic myomectomy lmy open conservative myomectomy provide updated review type frequency severity complications results direct teaching efforts guidelines give updated advice gynaecologists literature search conducted pubmed google scholar rcts topic 276 studies identified 19 rcts ultimately met criteria inclusion metaanalysis subsequent heterogeneity assessment results showed laparoscopic myomectomy favourable outcome regards several complications compared laparotomy laparoscopic myomectomy significantly associated lower hg drop wmd 048 95 ci 089 007 p 002179 lower incidence postoperative fever rr 043 95 ci 029 064 p 0001 lower levels pain 48hrs postop wmd 088 95 ci 163 0014 p 002020 decreased analgesia requests rr 049 95 ci 037 064 p 00001 prophylaxis use associated less adhesions rr 0064 95 ci 044 092 p 001 although enough data available draw conclusions regarding specific prophylactic agents differences found lmy laparotomy blood loss wmd 136494 95 ci 4448 1718 p 038553 pain 24hrs postop wmd 019 95 ci 055 018 p 032136 findings support previously published metaanalyses given right indications surgery training surgeon lmy seems preferable laparotomy achieving better clinical result fewer complications