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لاپاراتومی
Closure methods for laparotomy incisions for preventing incisional hernias and other wound complications.
Although historically performed via laparotomy, with the advent of minimally invasive surgery, laparoscopic myomectomy (LM) became more commonly performed and accepted as the "gold standard" approach.
Although there is sufficient evidence in the literature in favor of RALM over laparotomy, this is not the case when comparing PALM to conventional LM.
In a 2016 systematic review and meta-analysis by Lavazzo et al. comparing RALM to conventional LM or laparotomy, no significant difference was noted between RALM and LM.
Although the available evidence strongly suggests a role for RALM including decreased conversion rates to laparotomy, 0% to 3% (RALM) versus 11.3% (conventional LM), more comparative studies are needed to define the role of RALM, particularly in terms of patient candidacy, outcome, and cost-efficiency.
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