Evidence map›Paper›PMID 29284859›Full record

ArticleAnesthesia, essays and researches

Transversus Abdominis Plane Block versus Ilioinguinal/Iliohypogastric Nerve Block with Wound Infiltration for Postoperative Analgesia in Inguinal Hernia Surgery: A Randomized Clinical Trial.

Chinthavali Sujatha, Mamie Zachariah, R V Ranjan, Sagiev Koshy George, T R Ramachandran, Anil Radhakrishna Pillai

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Article in Anesthesia, essays and researches. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 20 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

6 authors at 1 institution in 1 country.

Chinthavali SujathaDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
Mamie ZachariahDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
R V RanjanDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
Sagiev Koshy GeorgeDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
T R RamachandranDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
Anil Radhakrishna PillaiDepartment of Anesthesia, Pondicherry Institute of Medical Sciences, Puducherry, India.
Pondicherry Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious analgesic modalities have been used for postoperative analgesia in patients undergoing inguinal hernia surgery. In this randomized clinical trial, we have compared the analgesic efficacy of transversus abdominis plane (TAP) block with that of ilioinguinal/iliohypogastric (IIIH) nerve block with wound infiltration in patients undergoing unilateral open inguinal hernia repair.

aimThe primary objective of this study was to compare the efficacy of postoperative analgesia of ultrasound-guided TAP block and IIIH block with wound infiltration (WI) in patients undergoing open inguinal hernia surgery. SETTINGS AND

designThis was a randomized clinical trial performed in a tertiary care hospital. MATERIALS AND

methodsSixty patients scheduled for hernia repair were randomized into two groups, Group T and Group I. Postoperatively, under ultrasound guidance, Group T received 20 ml of 0.25% ropivacaine - TAP block and Group I received 10 ml of 0.25% ropivacaine - IIIH block + WI with 10 ml of 0.25% ropivacaine. The primary outcome measure was the time to rescue analgesia in the first 24 h postoperatively. Fentanyl along with diclofenac was given as first rescue analgesic when the patient complained of pain. STATISTICAL ANALYSIS: Statistical comparisons were performed using Student's

resultsMean time to rescue analgesia was 5.900 ± 1.881 h and 3.766 ± 1.754 h (

conclusionAs a multimodal analgesic regimen, definitely both TAP block and IIIH block with wound infiltration have a supporting role in providing analgesia in the postoperative period for adult inguinal hernia repair. In this study, ultrasound-guided TAP block provided longer pain control postoperatively than IIIH block with WI after inguinal hernia repair. There were no complications attributed to the blocks in either of the group.

Indexed as

Ilioinguinal/iliohypogastric nerve blocktransversus abdominis plane blockultrasound-guidedvisual analog scalewound infiltration

Identifiers

PMID29284859
PMCPMC5735498
OpenAlexW2727293335

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.