Evidence map›Paper›PMID 39835651›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2025

Treatment outcomes of Manchester procedure versus vaginal hysterectomy for mid-compartment prolapse: A systematic review and meta-analysis.

Qi Wang, Stefano Manodoro, Xiaoxiang Jiang, Chaoqin Lin

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qi WangDepartment of Gynecology, Fujian Maternity and Child Health Hospital, Fuzhou, People's Republic of China.ORCID 0000-0003-3175-2881
Stefano ManodoroASST Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy.ORCID 0000-0002-1837-0806
Xiaoxiang JiangDepartment of Gynecology, Fujian Maternity and Child Health Hospital, Fuzhou, People's Republic of China.
Chaoqin LinDepartment of Gynecology, Fujian Maternity and Child Health Hospital, Fuzhou, People's Republic of China.ORCID 0000-0003-4631-0218

Funding

Joint Funds for the Innovation of Science and Technology Fujian, Province 2023Y9367
6 · The paper itself

Abstract

introductionTo compare the effectiveness and safety of Manchester procedure versus vaginal hysterectomy in the treatment of mid-compartment prolapse in women. MATERIAL AND

methodsWe searched PubMed, Web of Science, Google Scholar, and the Cochrane Library for randomized controlled trials (RCTs), prospective, or retrospective studies comparing the Manchester procedure and vaginal hysterectomy up to July 2024. Primary outcomes included anatomical recurrence, subjective recurrence, overall complication rate, and reoperation. Secondary outcomes included estimated blood loss, operative time, and relevant subgroup analyses. This study has been registered in PROSPERO with the registration number CRD42024575874.

resultsA total of 11 783 cases from 1 RCT, 1 prospective study, and 9 retrospective studies were included. For the primary outcomes, the Manchester procedure demonstrated significantly lower subjective recurrence rates (risk ratio [RR] = 0.85; 95% confidence interval [CI]: 0.73-0.98; I

conclusionsOverall, the rates of anatomical recurrence and overall complications for Manchester procedure and vaginal hysterectomy are similar. Manchester procedure appears to have a lower subjective recurrence and reoperation rate in the short term, but this advantage was not observed in mid- to long-term follow-up. Further high-quality prospective studies are needed to confirm these findings.

Indexed as

Hysterectomy, VaginalUterine ProlapseFemaleHumansOperative TimePostoperative ComplicationsReoperationTreatment Outcomecomparative studyManchester procedurepelvic organ prolapsesystematic reviewvaginal hysterectomy

Identifiers

PMID39835651
PMCPMC11981113

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.