Clinical Efficacy and Safety of Misoprostol During Abdominal Myomectomy: An Updated Systematic Review and Meta-Analysis of 16 Randomized Controlled Trials Article Swipe
Ahmed Abu‐Zaid
,
Maha Al Baalharith
,
Mohannad Alsabban
,
Osama Alomar
,
Mohammed Abuzaid
,
Saud Owaimer Alsehaimi
,
Hedaya Albelwi
,
Saad M. S. Alqarni
,
Manal Ali Alqahtani
,
Mohammed Ziad Jamjoom
,
Saeed Baradwan
,
Hussein Sabban
,
Samah Himayda
,
Bayan Albouq
,
Ehab Badghish
,
Afnan Baradwan
,
Raghad Sindi
,
Ismail A. Al-Badawi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13216356
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13216356
Objective: This study offered an updated meta-analysis of randomized controlled trials (RCTs) that assessed preoperative misoprostol compared to control (matched placebos or no treatment) during abdominal myomectomies. Methods: Six databases underwent screening until 7 April 2024. The risk of bias was assessed using the Cochrane Collaboration tool. The results were presented as mean differences (MDs) or risk ratios (RRs) along with 95% confidence intervals (CIs) using the random-effects model. Results: Sixteen RCTs were analyzed, involving 975 women. The overall quality of the studies was rated as “low” or had “some concerns” of bias in seven and eight RCTs, respectively; one RCT had an overall “high” risk of bias. For primary endpoints, the misoprostol intervention had significantly lower mean intraoperative blood loss (n = 15, MD = −180.2 mL, 95% CI [−224.04, −136.35], p < 0.001), mean hemoglobin drop (n = 13, MD = −0.58 g/dl, 95% CI [−0.82, −0.35], p < 0.001), and rate of perioperative blood transfusion (n = 13, RR = 0.43, 95% CI [0.29, 0.63], p < 0.001) compared to the control intervention. For secondary endpoints, the misoprostol intervention had significantly lower mean hematocrit drop (MD = 2.15, 95% CI −3.34, −0.96], p < 0.001), mean operative time (MD = −12.95 min, 95% CI [−19.89, −6.01], p < 0.001), and mean hospital stay (MD = −0.14 days, 95% CI [−0.25, −0.02], p = 0.02) compared to the control intervention. Nonetheless, no significant change was indicated between both interventions regarding the rate of postoperative fever. Conclusions: During abdominal myomectomy, the administration of preoperative misoprostol was generally safe and yielded statistically significant reductions in intraoperative blood loss, hemoglobin drop, and perioperative blood transfusion.
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Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13216356
- OA Status
- gold
- Cited By
- 3
- References
- 53
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4403733937
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403733937Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm13216356Digital Object Identifier
- Title
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Clinical Efficacy and Safety of Misoprostol During Abdominal Myomectomy: An Updated Systematic Review and Meta-Analysis of 16 Randomized Controlled TrialsWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-24Full publication date if available
- Authors
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Ahmed Abu‐Zaid, Maha Al Baalharith, Mohannad Alsabban, Osama Alomar, Mohammed Abuzaid, Saud Owaimer Alsehaimi, Hedaya Albelwi, Saad M. S. Alqarni, Manal Ali Alqahtani, Mohammed Ziad Jamjoom, Saeed Baradwan, Hussein Sabban, Samah Himayda, Bayan Albouq, Ehab Badghish, Afnan Baradwan, Raghad Sindi, Ismail A. Al-BadawiList of authors in order
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https://doi.org/10.3390/jcm13216356Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/jcm13216356Direct OA link when available
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Medicine, Misoprostol, Randomized controlled trial, Meta-analysis, Clinical trial, Surgery, Internal medicine, Pregnancy, Genetics, Biology, AbortionTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
- References (count)
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53Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.[−0.25, | 222 |
| abstract_inverted_index.[−0.82, | 147 |
| abstract_inverted_index.abdominal | 25, 249 |
| abstract_inverted_index.analyzed, | 73 |
| abstract_inverted_index.databases | 29 |
| abstract_inverted_index.generally | 257 |
| abstract_inverted_index.indicated | 237 |
| abstract_inverted_index.intervals | 63 |
| abstract_inverted_index.involving | 74 |
| abstract_inverted_index.operative | 199 |
| abstract_inverted_index.presented | 50 |
| abstract_inverted_index.regarding | 241 |
| abstract_inverted_index.screening | 31 |
| abstract_inverted_index.secondary | 177 |
| abstract_inverted_index.underwent | 30 |
| abstract_inverted_index.“low” | 86 |
| abstract_inverted_index.−0.02], | 223 |
| abstract_inverted_index.−0.35], | 148 |
| abstract_inverted_index.−0.96], | 194 |
| abstract_inverted_index.−6.01], | 208 |
| abstract_inverted_index.Objective: | 0 |
| abstract_inverted_index.[−19.89, | 207 |
| abstract_inverted_index.confidence | 62 |
| abstract_inverted_index.controlled | 9 |
| abstract_inverted_index.endpoints, | 110, 178 |
| abstract_inverted_index.hematocrit | 186 |
| abstract_inverted_index.hemoglobin | 136, 268 |
| abstract_inverted_index.randomized | 8 |
| abstract_inverted_index.reductions | 263 |
| abstract_inverted_index.treatment) | 23 |
| abstract_inverted_index.“high” | 104 |
| abstract_inverted_index.[−224.04, | 130 |
| abstract_inverted_index.concerns” | 90 |
| abstract_inverted_index.differences | 53 |
| abstract_inverted_index.misoprostol | 15, 112, 180, 255 |
| abstract_inverted_index.myomectomy, | 250 |
| abstract_inverted_index.significant | 234, 262 |
| abstract_inverted_index.transfusion | 157 |
| abstract_inverted_index.−136.35], | 131 |
| abstract_inverted_index.Conclusions: | 247 |
| abstract_inverted_index.Nonetheless, | 232 |
| abstract_inverted_index.intervention | 113, 181 |
| abstract_inverted_index.preoperative | 14, 254 |
| abstract_inverted_index.transfusion. | 273 |
| abstract_inverted_index.Collaboration | 45 |
| abstract_inverted_index.intervention. | 175, 231 |
| abstract_inverted_index.interventions | 240 |
| abstract_inverted_index.meta-analysis | 6 |
| abstract_inverted_index.myomectomies. | 26 |
| abstract_inverted_index.perioperative | 155, 271 |
| abstract_inverted_index.postoperative | 245 |
| abstract_inverted_index.respectively; | 98 |
| abstract_inverted_index.significantly | 115, 183 |
| abstract_inverted_index.statistically | 261 |
| abstract_inverted_index.administration | 252 |
| abstract_inverted_index.intraoperative | 118, 265 |
| abstract_inverted_index.random-effects | 67 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 18 |
| citation_normalized_percentile.value | 0.89019501 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |