title: Minimally Invasive Hysterectomy: An Analysis of Different Techniques.
abstract: To compare conventional minimally invasive (MIS) approaches and newer technology approaches in women undergoing hysterectomy for benign disease. PubMed was searched for all pertinent randomized-controlled trials (RCTs). Selected outcomes were compared using standard meta-analysis methods. Three RCTs compared conventional MIS to robotic-assisted hysterectomy and 5 RCTs compared conventional laparoscopy to single-incision hysterectomy. There were no significant differences in outcomes. A subanalysis comparing conventional to robotic-assisted laparoscopy found an association between conventional laparoscopy and shorter operative time. Newer technology approaches do not confer an advantage over conventional MIS approaches in women undergoing hysterectomy for benign disease.
authors.affiliation: *Department of Obstetrics and Gynecology, Women's Health Institute †Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Beri M
authors.initials: BM
authors.lastname: Ridgeway
authors.forename: Megan
authors.initials: M
authors.lastname: Buechel
authors.forename: Benjamin
authors.initials: B
authors.lastname: Nutter
authors.forename: Tommaso
authors.initials: T
authors.lastname: Falcone
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D061646:Operative Time; D016032:Randomized Controlled Trials as Topic; D065287:Robotic Surgical Procedures; D014591:Uterine Diseases / Q000601:surgery*