Evidence map›Paper›PMID 30377402›Full record

ArticleReproductive medicine and biology2018

Does local infiltration anesthesia on laparoscopic surgical wounds reduce postoperative pain? Randomized control study.

Mika Sugihara, Takahito Miyake, Yasunari Miyagi, Takashi Oda, Yukiko Hazama, Rikiya Sano, Takafumi Nakamura, Mitsuru Shiota, Koichiro Shimoya

Open access · goldAbstract read
In one paragraph

Article in Reproductive medicine and biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

9 authors at 2 institutions in 1 country.

Mika SugiharaDepartment of Obstetrics and Gynecology 1 Kawasaki Medical School Kurashiki Japan.ORCID 0000-0001-5024-962X
Takahito MiyakeDepartment of Gynecology Miyake Ofuku Clinic Okayama Japan.
Yasunari MiyagiDepartment of Gynecology Miyake Ofuku Clinic Okayama Japan.ORCID 0000-0003-0962-033X
Takashi OdaDepartment of Gynecology Miyake Ofuku Clinic Okayama Japan.
Yukiko HazamaDepartment of Obstetrics and Gynecology 1 Kawasaki Medical School Kurashiki Japan.
Rikiya SanoDepartment of Gynecologic Oncology Kawasaki Medical School Kurashiki Japan.
Takafumi NakamuraDepartment of Obstetrics and Gynecology 1 Kawasaki Medical School Kurashiki Japan.
Mitsuru ShiotaDepartment of Gynecologic Oncology Kawasaki Medical School Kurashiki Japan.
Koichiro ShimoyaDepartment of Obstetrics and Gynecology 1 Kawasaki Medical School Kurashiki Japan.
Kawasaki Medical School · JPAkebono Clinic · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecently, endoscopic surgeries are widely performed in the gynecological field. Several studies on the use of local anesthesia for pain control after laparoscopic surgery have been conducted; however, its effects remain controversial. Herein, a randomized control study on gynecological laparoscopic surgeries was conducted to analyze the effectiveness of local anesthesia on postoperative pain.

methodsPatients who underwent laparoscopic surgeries due to gynecologic benign diseases or endometrial cancer in the early stage were enrolled, and randomly divided into intervention (injected with levobupivacaine), and control (injected with saline) groups. The primary outcome was the dosage of analgesic consumption within 12 hours postoperatively.

resultsA total of 147 patients were enrolled in the intervention group and 147 in the control group. The outcome of local anesthesia was not significantly different between the two groups during the whole analysis. We analyzed the effects of local anesthesia in the laparoscopic surgery subgroup. The dosage of analgesic consumption within 12 h after a laparoscopic hysterectomy (TLH) or TLH with pelvic lymph node dissection (TLH+PLD) in the intervention group was significantly smaller than that in the control group.

conclusionLocal infiltration anesthesia can effectively reduce postoperative pain in patients who underwent TLH or TLH +PLD.

Indexed as

hysterectomylaparoscopic surgerylocal infiltration anesthesiasalpingo‐oophorectomyVAS

Identifiers

PMID30377402
PMCPMC6194276
OpenAlexW2885407861

What OpenQuestion holds

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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.