Surgical management of genital prolapse and combined gynecological pathologies in women: A meta-analysis
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Department Obstetrics and Gynecology, Kazakh National Medical University, Almaty, KAZAKHSTAN
Department of Health Policy and Organization, Al-Farabi Kazakh National University, Almaty, KAZAKHSTAN
Online publication date: 2023-01-04
Publication date: 2023-03-01
Electron J Gen Med 2023;20(2):em446
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.

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.

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.

According to this meta-analysis study, laparoscopic surgery performed better job of managing prolapse than abdominal surgery.

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