Evidence map›Paper›PMID 29869078›Full record

Trial reportSurgical endoscopy2018

Efficacy of ultrasound-guided transversus abdominis plane (TAP) block for postoperative analgesia in laparoscopic gastric sleeve resection: a randomized single blinded case control study.

Tarun Mittal, Ashish Dey, Rahul Siddhartha, Abhilash Nali, Bimla Sharma, Vinod Malik

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

Trial report in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 11 pooled it
5.9field-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.

NCT04417179 nacompletednot on this mapstarted 2020, after this paper: background citation

The Feasibility and Efficacy of Erector Spinae Block Versus Transversus Abdominis Plane Block In Laparoscopic Bariatric Surgery

TypeinterventionalSponsorCairo UniversityRan2020 to 2022Enrolled60ConditionsErector Spinae Block, Bariatric Surgery CandidateArmstransversus abdominis block, Erector spinae block, Bupivacaine 0.25% Injectable Solution, Siemens Acuson x300 3-5MHz Ultrasound
NCT05447429 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effects of Laparoscopic Guided Transversus Abdominis Plane (TAP) Block in Sleeve Gastrectomy Procedure: A Randomized Single Blinded Placebo Controlled Trial

TypeinterventionalSponsorSamsun Education and Research HospitalRan2021 to 2022Enrolled40ConditionsObesity, Morbid, Postoperative Pain, Postoperative Nausea and VomitingArmsTransversus abdominis plane block, Placebo
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 11 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial
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.

Tarun MittalDepartment of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India. tarunmittalmas@gmail.com.
Ashish DeyDepartment of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Rahul SiddharthaDepartment of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Abhilash NaliDepartment of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Bimla SharmaDepartment of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.
Vinod MalikDepartment of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Sir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain following bariatric surgery can be quite troublesome and prolongs recovery. Transversus abdominis plane (TAP) block is a new regional anesthetic technique to reduce postoperative pain and is an important part of current analgesic regimen for many abdominal surgeries. The primary objective of our study was to assess the efficacy of the TAP block in controlling postoperative pain in laparoscopic sleeve gastrectomy. Secondary outcomes assessed in this study were postoperative nausea and vomiting (PONV), time to ambulate, readiness for discharge, and whether it leads to improved patient satisfaction.

methodsThis is a prospective single blind randomized controlled study. A total of 60 patients were included in the study. Patients were allocated in two groups, using a computer generated randomization sequence using http://www.randomization.com . Test group included 30 patients who received Ultrasound-guided transversus abdominis plane (USG-TAP) block along with systemic analgesia and the Control group included 30 patients who received only systemic analgesia. Postoperatively patients were evaluated for pain and satisfaction using VAS scores and 'Capuzzo' satisfaction score, respectively.

resultsSixty patients were enrolled in the study after fulfilling the eligibility criteria. No patient was lost to follow-up. The difference of VAS scores between test (TAP) and control (Non-TAP) was statistically significant both at rest and on movement. The patient satisfaction score in TAP group was higher than the control group (p value < 0.001). The patients who received TAP block showed earlier readiness for discharge, early ambulation, early resumption of bowel activity, and decreased incidence of PONV as compared to the non-TAP group.

conclusionUSG-guided TAP block is a feasible, minimally invasive technique and can be a part of an effective multimodal analgesia in morbidly obese patients undergoing bariatric surgery. Limitations of this study would be the small sample size and the study being Single-blinded.

Indexed as

Abdominal MusclesAdultAnalgesiaBariatric SurgeryFemaleGastrectomyHumansLaparoscopyMaleMiddle AgedNeuromuscular BlockadeObesity, MorbidPostoperative PainSingle-Blind MethodTreatment OutcomeUltrasonographyAnalgesiaLaparoscopic gastric sleeveRandomized studyUSG-TAP block

Identifiers

PMID29869078
OpenAlexW2805703788

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.