Evidence map›Paper›PMID 28194529›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2017

A randomized clinical study on postoperative pain comparing between the supraglottic airway device and endotracheal tubing in transabdominal preperitoneal repair (TAPP).

Y Nagahisa, K Hashida, R Matsumoto, R Kawashima, M Okabe, K Kawamoto

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04788771 (Comparison of Tracheal Intubation and Laryngeal Mask Airway in Laparoscopic Total Extraperitoneal), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 98% 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.

NCT04788771 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of Tracheal Intubation and Laryngeal Mask Airway in Laparoscopic Total Extraperitoneal (TEP) Repair in Patients With Unilateral Inguinal Hernia

TypeinterventionalSponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2021 to 2022Enrolled40ConditionsLung Functions, Pain ScoreArmsTracheal intubation in laparoscopic extraperitoneal hernia repair
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Y NagahisaDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan. nagahisa440@yahoo.co.jp.ORCID 0000-0003-4494-7688
K HashidaDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan.
R MatsumotoDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan.
R KawashimaDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan.
M OkabeDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan.
K KawamotoDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, Japan.
Kurashiki Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransabdominal preperitoneal (TAPP) repair is the most widely used laparoscopic technique for the treatment of inguinal hernia in Japan. Many studies have shown that in comparison with open hernia repair, laparoscopic repair results in less pain and a shorter convalescence. However, postoperative pain remains a concern. One possible cause of postoperative pain in the early postoperative phase is strain or cough on removal of the endotracheal tube. Use of a supraglottic airway (SGA) device helps to avoid such complaints. We evaluated postoperative pain after TAPP repair using the SGA for general anesthesia.

methodsWe evaluated the postoperative pain in 146 patients with inguinal hernia repaired by TAPP in our hospital between May 2013 and May 2016. A total of 144 adult patients of American Society of Anesthesiologists physical status I and II who underwent needlescopic TAPP surgery were randomly allocated to one of two groups of 72 patients: group A (SGA), in which the patient's airway was secured with an appropriately sized I-gel, and group B (endotracheal tube), in which the airway was secured under laryngoscopy.

resultsThere was no significant difference between the groups regarding patient background, postoperative hospital stay, and operation time, and TAPP was performed safely in all cases. In the analysis of postoperative pain, the mean Numerical Rating Scale score of peak pain in group A was significantly less than that of group B (2.10 ± 2.05 vs 2.90 ± 2.65; p = 0.043). In group A, the percentage of patients who had an NRS score of 0 was 51.4% 30 min after surgery, 62.5% after 6 h and 68.1% at POD1, and compared to group B, the NRS scores were significantly higher at POD1 (p = 0.003), and the level of postoperative pain in group A tended to decrease earlier than that in group B.

conclusionsThe results of this study are the first to show that an SGA device can reduce postoperative pain after laparoscopic surgery.

Indexed as

Abdominal WallAdultAgedAged, 80 and overAirway ManagementFemaleHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPeritoneumPostoperative PainPostoperative PeriodProspective StudiesI-gelInguinal herniaSGASupraglottic airwayTAPP

Identifiers

PMID28194529
OpenAlexW2587780742

What OpenQuestion holds

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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.