2.1. Study design
We performed a systematic review to determine whether routine vaginal packing after vaginal hysterectomy affected postoperative complications. The review findings informed the formulation of a recommendation using an explicit and reason-working framework. Specifically, we reviewed the literature according to the Cochrane Collaboration guidance (5) and reported our findings according to the PRISMA statement (6). We used the Population, Interventions, Comparators, Outcomes, and Study design (PICOS) framework to define eligibility. The review protocol was not registered. The Catalan Society of Obstetrics and Gynaecology granted funding to conduct this work. No ethical approval was necessary.