Review Article

Likelihood of Accomplishing an In-Patient Hysteroscopic Myomectomy in a One-Step Procedure: A Systematic Review and Meta-Analysis

Table 4

Results of data syntheses.

Less than 50% of G2 myoma rate in clinical seriesAt least of 50% of G2 myoma rate in clinical series

Slicing technique in clinical series
Feasibility0.8650.706
95% CI: 0.820–0.90495% CI: 0.638–0.769
I2: 41.8%, I2: 0%,
Begg’s risk of bias: −0.524, Begg and Egger’s risk of bias cannot be calculated (too few strata)
Egger’s risk of bias: −1.583,
Complication rate0.05600.0686
95% CI: 0.0301–0.089495% CI: 0.0092–0.1766
I2: 31.8%, I2: 81.6%,
Begg’s risk of bias: 0.467, ;Begg’s and Egger’s risk of bias cannot be calculated (too few strata)
Egger’s risk of bias 0.972, .

Techniques for enucleating the deep portion of myomas
Feasibility0.9230.882
95% CI: 0.836–0.97895% CI: 0.835–0.925
I2: 96.1%, I2: 41.6%,
Begg’s risk of bias: −0.333, Begg’s risk of bias: 0.2,
Egger’s risk of bias −3.913, Egger’s risk of bias −0.627,
Complication rate0.01020.0393
95% CI: 0.0062–0.015295% CI: 0.0204–0.0640
I2: 0%, I2: 0%,
Begg’s risk of bias 0.357, Begg’s risk of bias: 0.571,
Egger’s risk of bias 0.169, Egger’s risk of bias: 0.787,

“Cold loop” technique
Feasibility0.9310.854
95% CI: 0.824–0.99195% CI: 0.754–0.932
I2: 91.8%, I2 = 68.6%,
Begg’s risk of bias: 0, Begg and Egger’s risk of bias cannot be calculated (too few strata)
Egger’s risk of bias: 4.870,
Complication rate0.01560.0285
95% CI 0.0050–0.031895% CI: 0.0115–0.0530
I2: 32.4%, I2 = 0%,
Begg’s risk of bias 0.667, Begg's and Egger’s risk of bias cannot be calculated (too few strata)
Egger’s risk of bias 0.434,

Sensitivity analyses confirmed the aforementioned overall proportions. The results are provided according to subgroups (Figure 2). The overall results in each subgroup are the weighted rate of feasibility and complications.