Evidence map›Paper›PMID 27177956›Full record

Trial reportSurgical endoscopy2017

Postoperative pain after laparoscopic sleeve gastrectomy: comparison of three analgesic schemes (isolated intravenous analgesia, epidural analgesia associated with intravenous analgesia and port-sites infiltration with bupivacaine associated with intravenous analgesia).

Jaime Ruiz-Tovar, Jose Luis Muñoz, Juan Gonzalez, Lorea Zubiaga, Alejandro García, Montiel Jimenez, Carlos Ferrigni, Manuel Durán

4 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT02662660 phase3completednot on this map

Postoperative Pain After Laparoscopic Sleeve Gastrectomy: Comparison of Isolated Intravenous Analgesia, Epidural Analgesia Associated With Analgesia iv and Port-sites Infiltration With Bupivacaine Associated With Analgesia iv

TypeinterventionalSponsorHospital General Universitario ElcheRan2012 to 2015Enrolled147ConditionsPostoperative PainArmsPort-sites infiltration:Bupivacaine0.25%, Epidural analgesia:Levobupivacaine0,125%, Metamizole and Acetaminophen iv
NCT03221998 early_phase1unknown statusnot on this map

The Effect of Timing of Intravenous Paracetamol Administration on Post-surgical Pain and Cytokines Levels Following Laparoscopic Sleeve Gastrectomy

TypeinterventionalSponsorSoroka University Medical CenterRan2017 to 2020Enrolled126ConditionsObesity, MorbidArmsIV paracetamol, IV saline (NaCl 0.9 %)
NCT03856788 phase4completednot on this mapstarted 2018, after this paper: background citation

Effect of Unilateral Ultrasound-Guided Subcostal Transversus Abdominis Plane Block in Patients Undergoing Laparoscopic Sleeve Gastrectomy

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2018 to 2021Enrolled43ConditionsLaparoscopic Sleeve Gastrectomy, Subcostal Transversus Abdominis Plane BlockArmsSaline, Bupivacaine
NCT05353426 nacompletednot on this mapstarted 2021, after this paper: background citation

Paragastric Lesser Omentum Neural Block to Prevent Visceral Pain After Laparoscopic Sleeve Gastrectomy: A Randomized Clinical Trial Protocol.

TypeinterventionalSponsorUniversidad Simón BolívarRan2021 to 2022Enrolled145ConditionsVisceral Pain, Bariatric Surgery Candidate, Pain, Postoperative, Vomiting, PostoperativeArmsParagastric autonomic neural blockade
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Jaime Ruiz-TovarDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain. jruiztovar@gmail.com.
Jose Luis MuñozDepartment of Anaesthesiology, Bariatric Surgery Unit, University Hospital Elche, Alicante, Spain.
Juan GonzalezDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain.
Lorea ZubiagaDepartment of Surgery, Bariatric Surgery Unit, University Hospital Elche, Alicante, Spain.
Alejandro GarcíaDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain.
Montiel JimenezDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain.
Carlos FerrigniDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain.
Manuel DuránDepartment of Surgery, Bariatric Surgery Unit, University Hospital Rey Juan Carlos, Corazon de Maria, 64, 7 J, 28002, Madrid, Spain.
Hospital General Universitario de Elche · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough bariatric surgery is actually mainly performed laparoscopically, analgesic optimization continues being essential to reduce complications and to improve the patients' comfort. The aim of this study is to evaluate the postoperative pain after analgesia iv exclusively, or associated with epidural analgesia or port-sites infiltration with bupivacaine. PATIENTS AND

methodsA prospective randomized study of patients undergoing laparoscopic sleeve gastrectomy between 2012 and 2014 was performed. Patients were divided into three groups: Analgesia iv exclusively (Group 1), epidural analgesia + analgesia iv (Group 2) and port-sites infiltration + analgesia iv (Group 3). Pain was quantified by means of a Visual Analogic Scale, and morphine rescue needs were determined 24 h after surgery.

resultsA total of 147 were included. Groups were comparable in age, gender and BMI. There were no differences in operation time, complications, mortality or hospital stay between groups. Median pain 24 h after surgery was 5 in Group 1, 2.5 in Group 2 and 2 in Group 3 (P = 0.01), without statistically significant differences between Groups 2 and 3. In Group 1, morphine rescue was necessary in 16.3 % of the cases, 2 % in Group 2 and 2 % in Group 3 (P = 0.014), without statistically significant differences between Groups 2 and 3.

conclusionEpidural analgesia and port-sites infiltration with bupivacaine, associated with analgesia iv, reduce the postoperative pain, when compared with analgesia iv exclusively. CLINICAL TRIALS: ClinicalTrials.gov Identifier: NCT02662660.

Indexed as

LaparoscopyAcetaminophenAdultAnalgesia, EpiduralAnalgesics, Non-NarcoticAnesthetics, LocalBariatric SurgeryBupivacaineDipyroneFemaleGastrectomyHumansInfusions, IntravenousLevobupivacaineMalePostoperative PainAcetaminophenAnalgesics, Non-NarcoticAnesthetics, LocalBupivacaineDipyroneLevobupivacaineEpidural analgesiaLaparoscopyPainPort-sites infiltrationSleeve gastrectomy

Identifiers

PMID27177956
OpenAlexW2360840031

What OpenQuestion holds

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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.