Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Komorowski, Andrzej L.; Mesa, Francisco Alba; Bała, Małgorzata M; Mituś, Jerzy; Wysocki, Wojciech M.

doi:10.1007/s12262-014-1038-1

Cited by 3 publications

(2 citation statements)

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“…Mean operative time was 119 min. Mean hospital length of stay was 3.1 days 12 . The risk of peritonitis is also present with the transvaginal approach and especially in the transgastric and transcolonic approaches.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy by the modified bikini line approach as a simple and safe technique

Gulaydin

2021

Rev. Assoc. Med. Bras.

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OBJECTIVE:The gold standard technique for laparoscopic cholecystectomy (LC) is using four ports in the upper abdomen. However, this operative approach may not provide aesthetic satisfaction for some patients because of visible incision marks. This study sought to demonstrate that these incision marks can be hidden by safely changing the port locations.METHODS: For patients with symptomatic cholelithiasis undergoing LC between March 2019 and March 2020, the modified bikini line approach was used. With the patient in the supine position with open legs, the first trocar (10 mm) was inserted into the abdomen through an 11-mm incision in the umbilicus. The other three trocars were placed in the abdomen at the bikini line with the help of a camera. The standard equipment for LC was then used to perform the surgery. RESULTS:The modified bikini line approach to LC was used for 38 patients. Average operative time was 28.65 min, and the average hospital stay was 1.07 days. No perioperative or postoperative complications occurred. Follow-up was at 1 week, 1 month, and 6 months.Cosmetic results were satisfactory for all patients.CONCLUSIONS: As an alternative to the standard LC approach, the modified bikini line technique is safe and useful in patients for whom postoperative aesthetic appearance is important. The modified approach is simple to learn and use and is effective to hide the incision marks well.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy by the modified bikini line approach as a simple and safe technique

Gulaydin

2021

Rev. Assoc. Med. Bras.

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“…A proportional meta-analysis was performed to calculate a pooled overall proportion of varicella complications based on several individual proportions [ 18 , 19 ]. This method of data synthesis allowed for the generation of a single summary estimate and its variance for each complication category.…”

Section: Methodsmentioning

confidence: 99%

Global Prevalence of Varicella-Associated Complications: A Systematic Review and Meta-Analysis

Shah,

Meiwald,

Perera

et al. 2023

Infect Dis Ther

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Introduction Varicella (chickenpox) is an infectious disease caused by the varicella zoster virus affecting children, adolescents, and adults. Varicella symptoms are usually self-limiting; however, different complications with widespread and systemic manifestations can occur. This systematic literature review aims to explore and quantify varicella-associated complication rates. Methods Two databases (Embase and MEDLINE), congress abstracts, and reference lists of systematic reviews were screened to identify evidence on varicella complications. Complications were identified and grouped into 14 clinically relevant categories. Proportional meta-analyses were conducted using a random-effects model and tests for heterogeneity and publication bias were performed. Subgroup, sensitivity, and meta-regression analyses were also conducted. A total of 78 studies, spanning 30 countries, were included in the meta-analysis. Results Pooled prevalence was highest in severe varicella (22.42%; 95% confidence interval [CI] 10.13–37.77), skin-related complications (20.12%; 95% CI 15.48–25.20), and infection-related complications (10.03%; 95% CI 7.47–12.90). Cardiovascular (0.55%; 95% CI 0.08–1.33), genitourinary (1.17%; 95% CI 0.55–1.99), and musculoskeletal (1.54%; 95% CI 1.06–2.11) complications had the lowest pooled prevalence. The remaining complication categories ranged between 1% and 10%. Subgroup analysis showed that complications were more prevalent in children versus adults and in hospitalized patients versus outpatients. Meta-regression analysis found that no ecological level covariates were accurate predictors for the overall prevalence of varicella-associated complications. There was substantial heterogeneity and publication bias across all meta-analyses. Conclusion Results suggest that different types of varicella-associated complications could be frequent, impacting quality of life, and healthcare resource utilisation and budgets. These findings are crucial to raise awareness of the health and economic burden of varicella disease. Supplementary Information The online version contains supplementary material available at 10.1007/s40121-023-00899-7.

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Combined Laparoscopic-Endoscopic Procedures and Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Schneider

Feußner

2017

Biomedical Engineering in Gastrointestinal Surgery

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Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Cited by 3 publications

References 44 publications

Laparoscopic cholecystectomy by the modified bikini line approach as a simple and safe technique

Laparoscopic cholecystectomy by the modified bikini line approach as a simple and safe technique

Global Prevalence of Varicella-Associated Complications: A Systematic Review and Meta-Analysis

Combined Laparoscopic-Endoscopic Procedures and Natural Orifice Transluminal Endoscopic Surgery (NOTES)

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