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.