Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis

Lee, Seung Hyun; Oh, So Ra; Cho, Yeon Jean; Han, Myoungseok; Park, Jung-Woo; Kim, Su Jin; Yun, Jeong Hye; Choe, Sun Yi; Choi, Joong Sub; Bae, Jong Woon

doi:10.1186/s12905-019-0784-4

BMC Women's Health

Table 2 Complications by surgical approach

From: Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis

First author, year	VH(n)	Overall complications	Grade I complications	Grade II complications	Grade III complications	LH(n)	Overall complications	Grade I complications	Grade II complications	Grade III complications
Agostini, 2006	24	1	Vault hematoma [1]	0	0	24	3	Fever [1], vault hematoma [2]	0	0
Allam, 2015	30	9	Vault hematoma [2]	Transfusion [6]	Ureteral injury [1]	30	1	0	Transfusion [1]	0
Candiani, 2009	30	6	Fever [5]	DVT^† [1]	0	30	3	Fever [3]
Darai, 2001	40	5	Fever [2], infection [1], vault hematoma [1]	Transfusion [1]	0	40	9	Fever [3], infection [3], vault hematoma [1]	Transfusion [1]	Cystotomy [1]
Drahonovsky, 2010	40	20	Fever [8], vault hematoma [10]	Transfusion [1]	Cystotomy [1]	85	25	Fever [4], UTI^‡ [3], vault dehiscence [5], vault hematoma [9]	Transfusion [1]	Cystotomy [1] UVF^§ [1] VVF^§§ [1]
Eggemann, 2018	97	3	Fever [1]	Transfusion [1]	Cystotomy [1]	95	3	Fever [1]	Transfusion [1]	Cystotomy [1]
Garry, 2004	168	65	Anesthetic problem [1], fever [12], infection [24], vaginal bleeding [2], vault hematoma [10]	Transfusion [14]	Cystotomy [2]	336	123	Anesthetic problem [3], fever [18], infection [36], vaginal bleeding [8], vault hematoma [14]	Transfusion (39)	Cystotomy [3] Pulmonary embolism [2]
Ghezzi, 2010	41	4	Fever [2], urinary retention [2]	0	0	41	1	Urinary retention [1]	0	0
Hwang, 2002	30	5	Fever [4]	Transfusion [1]	0	30	6	UTI^‡ [1]	Transfusion [5]	0
Mohammed, 2017	25	4	0	Transfusion [2]	Cystotomy [2]	25	6	0	Transfusion [4]	Cystotomy [2]
Ottosen, 2000	40	7	Fever [1], UTI^‡ [1], vault infection [1], vault hematoma [1]	0	Reoperation [2], cystotomy [1]	40	4	Fever [1], urinary retention [1], vault infection [1]	0	Reoperation [1]
Ribeiro, 2003	20	1	0	0	Cystotomy [1]	20	0	0	0	0
Roy, 2011	30	8	Fever [4], vaginal bleeding [4]	0	0	60	22	Fever [10], UTI^‡ [4], vaginal bleeding [6], wound infection [2]	0	0
Sesti, 2014	36	1	Fever [1]	0	0	72	5	Fever [2], urinary retention [1]	Transfusion [2]	0
Soriano, 2001	35	1	0	Transfusion [1]	0	37	1	0	Transfusion [1]	0

† Deep vein thrombosis
‡ Urinary tract infection
§ Ureterovaginal fistula
§§ Vesicovaginal fistula

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ISSN: 1472-6874

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