Evidence map›Paper›PMID 26493289›Full record

ReviewDrugs2015

Laparoscopic surgery: a narrative review of pharmacotherapy in pain management.

Sari Sjövall, Merja Kokki, Hannu Kokki

3 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% of its field
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.

NCT02824939 nacompletednot on this mapstarted 2016, after this paper: background citation

Comparison of Ultrasound Guided Quadratus Lumborum Block With Ultrasound Guided TAP Block for Postoperative Analgesia After Laparoscopic Nephrectomy: a Prospective Randomized Controlled Trial

TypeinterventionalSponsorPost Graduate Institute of Medical Education and Research, ChandigarhRan2016 to 2017Enrolled96ConditionsPostoperative PainArmsTransversus Abdominis Plane (TAP) Block, Quadratus Lumborum (QL) Block
NCT05465525 nacompletednot on this mapstarted 2022, after this paper: background citation

Ultrasound Guided Quadratus Lumborum Block Versus Erector Spinae Plane Block For Postoperative Analgesia In Patient Undergoing Laparoscopic Hysterectomy: A Randomized Double Blinded Study

TypeinterventionalSponsorNamik Kemal UniversityRan2022 to 2023Enrolled81ConditionsGynecologic DiseaseArmsQuadratus Lumborum Block Type III, Erector Spinae Plane Block, No Block
NCT05675657 nacompletednot on this mapstarted 2023, after this paper: background citation

Ultrasound Guided Quadratus Lumborum Block Versus Erector Spinae Plane Block For Postoperative Analgesia In Patient Undergoing Abdominal Hysterectomy: A Randomized Double Blinded Study

TypeinterventionalSponsorNamik Kemal UniversityRan2023 to 2023Enrolled81ConditionsGynecologic DiseaseArmsNo Block, Quadratus Lumborum Block Type III, Erector Spinae Plane Block
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  17. Optimizing Anesthetic Management for Laparoscopic Surgery: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
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  19. Observational
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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

3 authors at 2 institutions in 1 country.

Sari SjövallDepartment of Anaesthesia, Satakunta Central Hospital, Pori, Finland.
Merja KokkiDepartment of Anaesthesia and Operative Services, Kuopio University Hospital, PO Box 100, 700029 KYS, Kuopio, Finland.
Hannu KokkiDepartment of Anaesthesia and Operative Services, Kuopio University Hospital, PO Box 100, 700029 KYS, Kuopio, Finland. hannu.kokki@uef.fi.
Satakunta Central Hospital · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic surgery is widespread, and an increasing number of surgeries are performed laparoscopically. Early pain after laparoscopy can be similar or even more severe than that after open surgery. Thus, proactive pain management should be provided. Pain after laparoscopic surgery is derived from multiple origins; therefore, a single agent is seldom sufficient. Pain is most effectively controlled by a multimodal, preventive analgesia approach, such as combining opioids with non-opioid analgesics and local anaesthetics. Wound and port site local anaesthetic injections decrease abdominal wall pain by 1-1.5 units on a 0-10 pain scale. Inflammatory pain and shoulder pain can be controlled by NSAIDs or corticosteroids. In some patient groups, adjuvant drugs, ketamine and α2-adrenergic agonists can be helpful, but evidence on gabapentinoids is conflicting. In the present review, the types of pain that need to be taken into account while planning pain management protocols and the wide range of analgesic options that have been assessed in laparoscopic surgery are critically assessed. Recommendations to the clinician will be made regarding how to manage acute pain and how to prevent persistent postoperative pain. It is important to identify patients at the highest risk for severe and prolonged post-operative pain, and to have a proactive strategy in place for these individuals.

Indexed as

AcetaminophenAdrenal Cortex HormonesAdrenergic alpha-2 Receptor AgonistsAminesAnalgesicsAnalgesics, OpioidAnesthetics, LocalAnti-Inflammatory Agents, Non-SteroidalCombined Modality TherapyCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric AcidHumansLaparoscopyPain ManagementPostoperative PainAcetaminophenAdrenal Cortex HormonesAdrenergic alpha-2 Receptor AgonistsAminesAnalgesicsAnalgesics, OpioidAnesthetics, LocalAnti-Inflammatory Agents, Non-SteroidalCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric AcidPregabalinReceptors, N-Methyl-D-Aspartate

Identifiers

PMID26493289
OpenAlexW2145921193

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.