Evidence map›Paper›PMID 32518477›Full record

SynthesisJSLS : Journal of the Society of Laparoendoscopic Surgeons

Transversus Abdominis Plane Block for Laparoscopic Hysterectomy Pain: A Meta-Analysis.

Ja Hyun Shin, Ethan M Balk, Karina Gritsenko, Alexander Wang, Kari Plewniak, Naum Shaparin

Open access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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.

Ja Hyun ShinDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Weill Cornell Medical Center/New York Presbyterian Hospital, New York, NY.
Ethan M BalkCenter for Evidence Synthesis in Health, Brown University School of Public Health, Providence, RI.
Karina GritsenkoDivision of Pain Management and Regional Anesthesia, Department of Anesthesiology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Alexander WangDivision of Surgery, Gynecology Section, Orlando VA Medical Center, University of Central Florida College of Medicine/Hospital Corporation of America Graduate Medical Education Consortium Obstetrics and Gynecology Residency Program, Orlando, FL.
Kari PlewniakDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Naum ShaparinDivision of Pain Management and Regional Anesthesia, Department of Anesthesiology, Albert Einstein College of Medicine/Montefiore Medical Center. Bronx, NY.
Brown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveReview the analgesic effect of the transversus abdominis plane (TAP) block and its impact on postoperative pain scores and opioid usage for patients undergoing laparoscopic and robotic hysterectomies.

methodsSystematic review with meta-analysis of randomized controlled trials that compared the effect of TAP block to either placebo or no block on narcotic use (in morphine equivalent units [MEq]) and pain (per visual analog scale) within 24] h after a laparoscopic or robotic hysterectomy for benign or malignant indications. Searches were conducted in PubMed and Embase through May 31, 2019.

resultsNine randomized controlled trials met eligibility criteria; 7 evaluated laparoscopic hysterectomy and 2 robotic hysterectomy. A total of 688 subjects were included (559 laparoscopic hysterectomy, 129 robotic hysterectomy). Opioid consumption was similar in the first 24] h postoperative with or without TAP block (-0.8 MEq; 95% CI, -2.9, 1.3; 8 TAP arms; N] = 395). Pain scores (visual analog scale) were also similar with or without TAP block (-0.01 U; 95% CI, -0.34, 0.32; 10 TAP arms; N] = 636). Neither meta-analysis showed statistical heterogeneity across studies.

conclusionsThe evidence does not support a benefit of TAP block to reduce pain or opioid use for patients receiving laparoscopic or robotic hysterectomies.

Indexed as

Abdominal MusclesAnalgesics, OpioidFemaleHumansHysterectomyLaparoscopyNerve BlockPostoperative PainPostoperative PeriodRandomized Controlled Trials as TopicRoboticsRobotic Surgical ProceduresUterine DiseasesUterine NeoplasmsVisual Analog ScaleAnalgesics, OpioidHysterectomyLaparoscopicRoboticTAP block, pain

Identifiers

PMID32518477
PMCPMC7234801
OpenAlexW3033225790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.