{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:10:21Z","timestamp":1780600221390,"version":"3.54.1"},"reference-count":25,"publisher":"S. Karger AG","issue":"3-4","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Introduction:<\/i><\/b> To date, there is no robust evidence suggesting whether transvaginal retrieval (TVSR) or port-site specimen retrieval (PSSR) after laparoscopic myomectomy (LM) may lead to better surgical outcomes. Considering this element, we aimed to compare surgical outcomes of TVSR versus PSSR after LM. <b><i>Methods:<\/i><\/b> A search (PROSPERO ID: CRD42020176490) of international databases, from 1980 to 2020, in English language, was conducted. We selected studies that included women who underwent LM with TVSR compared with PSSR. <b><i>Results:<\/i><\/b> We did not find significant differences for operative time (MD = \u22128.90; 95% CI: 30.00, 12.20; <i>I<\/i><sup>2<\/sup> = 87%), myoma retrieval time (MD = \u22121.85; 95% CI: 13.55, 9.85; <i>I<\/i><sup>2<\/sup> = 98%), blood loss (MD = \u221227.62; 95% CI: 178.68, 124.43; <i>I<\/i><sup>2<\/sup> = 91%), intra-operative complication rate (OR 0.51; 95% CI: 0.01\u201323.09; <i>I<\/i><sup>2<\/sup> = 69%), and hospital stay (MD = \u22120.14; 95% CI: 0.43, 0.15; <i>I<\/i><sup>2<\/sup> = 64%); we found a significant lower postoperative rescue analgesics utilization in the TVSR group compared with the PSSR group (OR 0.31; 95% CI: 0.16\u20130.61; <i>I<\/i><sup>2<\/sup> = 0). <b><i>Conclusion:<\/i><\/b> TVSR and PSSR after LM showed comparable results for operative time and surgery-related complications. However, the need of postoperative rescue analgesics was lower in women who underwent TVSR. <\/jats:p>","DOI":"10.1159\/000525624","type":"journal-article","created":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T21:00:36Z","timestamp":1655845236000},"page":"177-183","source":"Crossref","is-referenced-by-count":19,"title":["Transvaginal versus Port-Site Specimen Retrieval after Laparoscopic Myomectomy: A Systematic Review and Meta-Analysis"],"prefix":"10.1159","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-2802","authenticated-orcid":false,"given":"Antonio 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