Surgical management of genital prolapse and combined gynecological pathologies in women: A meta-analysis
Aliya Meirmanova 1 * , Gulzhakhan Omarova 1 , Almagul Kurmanova 2 , Zhanara Begniyazova 1 , Ainura Yuldasheva 1
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1 Department Obstetrics and Gynecology, Kazakh National Medical University, Almaty, KAZAKHSTAN2 Department of Health Policy and Organization, Al-Farabi Kazakh National University, Almaty, KAZAKHSTAN* Corresponding Author

Abstract

Introduction: Prolapse can be fixed using a variety of surgical procedures. The goal of the present study was to examine the current literature on various surgical techniques for treating female genital organ prolapse.
Methods: The PubMed and Medline databases were explored for pertinent literature up through August 2022 for this meta-analysis. The terms [surgery] AND [management] AND [genital prolapse OR gynaecological diseases] AND [randomised control studies OR randomised control trials] were used as search criteria. The studies that met the inclusion criteria were considered qualified using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Cochrane handbook of “Systematic reviews of interventions” was used for risk of bias assessment.
Results: The investigations found significant difference in the heterogeneity between the groups with a 76% I2 value (p<0.00001). There was little variability among the six trials that examined robotic and laparoscopic therapy of prolapse (I2=0%, p=0.94). In six investigations, the odd ratio revealed no statistically significant difference between groups (1.05; 95% CI, 0.52, 2.12). However, generally there were no appreciable differences between robotic and laparoscopic treatment of female prolapse. There was a low-risk bias among the selected studies.
Conclusion: According to this meta-analysis study, laparoscopic surgery performed better job of managing prolapse than abdominal surgery.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Review Article

ELECTRON J GEN MED, 2023, Volume 20, Issue 2, Article No: em446

https://doi.org/10.29333/ejgm/12793

Publication date: 01 Mar 2023

Online publication date: 04 Jan 2023

Article Views: 752

Article Downloads: 787

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