Temporary Ovarian Suspension Reduced Postoperative Adhesions in Endometriosis: A Meta-Analysis
LI Chao
LI Zhi-ru
WANG Ling
Abstract：Objective:To evaluate the effectiveness of temporary ovarian suspension in reducing the postoperative adhesions of laparoscopy in those patients with endometriosis.Methods:We searched PUBMED,MEDLINE,EMBASE,the ISI Web of Science,Ovid,Cochrane Library,CNKI,Wanfang Data,VIP database and CBM and so on,using the keywords "ovarian suspension","laparoscopy","endometriosis" and "pelvic adhesions",to identify studies involving human subjects published in English between January 1950 and December 2017.No restrictions on language or time were applied.The selection criteria included the randomized controlled trials (RCTs) that compared the effectiveness of temporary ovarian suspension in reducing the postoperative adhesions of laparoscopy in patients with endometriosis.Meta-analysis was performed by two investigators using data from the cochrane systematic review.Results:We included four RCTs involving 302 patients in the meta-analysis.Temporary ovarian suspension significantly lowered the incidence rate of laparoscopy postoperative adhesions in severe endometriosis (RR=0.75,95％CI:0.64～0.87).The dyschezia was more effectively alleviated (RR=-0.30,95％CI:-0.58～-0.02).However,dysmenorrhea (RR=-0.75,95％CI:-1.92～0.41),chronic pelvic pain (RR=-0.77,95％CI:-1.88～0.35),dyspareunia (RR=l.25,95％CI:-0.86～3.37) and dysuria (RR=-1.51,95％CI:-4.22～1.20) were not significantly relieved.Conclusions:Temporary ovarian suspension is an effective technique in preventing the postoperative adhesion in endometriosis women,with the reduced dyschezia,in which the life quality of patients was improved.
Keywords：EndometriosisOvarian suspensionSurgical adhesionMeta-analysis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 113-118 )