Evidence map›Paper›PMID 32831540›Full record

Trial reportJSLS : Journal of the Society of Laparoendoscopic Surgeons

Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology.

Kelly Benabou, Soorin Kim, Christina H Tierney, Joel E Messom, Tassos C Kyriakides, Shabnam M Kashani, Dan-Arin Silasi, Masoud Azodi, Farinaz Seifi

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Kelly BenabouDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Soorin KimDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Christina H TierneyDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Joel E MessomDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Tassos C KyriakidesYale Center for Analytical Sciences, Yale School of Public Health.
Shabnam M KashaniDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Dan-Arin SilasiDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Masoud AzodiDepartment of Obstetrics and Gynecology, Yale University School of Medicine.
Farinaz SeifiDepartment of Obstetrics and Gynecology, Yale University School of Medicine.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTransversus abdominis plane (TAP) block is a safe and effective type of regional anesthesia technique used in laparoscopic gynecologic surgery to minimize postoperative pain. Our study aimed to compare the analgesic effects of the posterior versus lateral approaches to laparoscopic-assisted TAP block in minimally invasive gynecologic surgery.

methodsWe performed a randomized controlled trial with 82 patients allocated to either posterior (n = 38) or lateral (n = 44) TAP block groups. Laparoscopic-assisted posterior or lateral TAP block was administered using liposomal bupivacaine mixture. All subjects were asked to fill out a questionnaire, which included postoperative pain scores at 6 h, 12 h, 24 h, 48 h, and 72 h, as well as narcotic utilization postoperatively. Both groups were compared for postoperative pain scores, opioid consumption, perioperative, and demographic characteristics.

resultsA total of 67 patients were analyzed in our study (n = 33 in posterior arm, n = 34 in lateral arm). Demographic characteristics including race, body mass index, comorbidities, American Society of Anesthesiologists classification, pre-operative diagnosis, complication rates, length of stay, and estimated blood loss were comparable between the two groups. The distribution of different operative procedures was similar between the two groups. There was no statistically significant difference in pain scores at 6 h, 12 h, 24 h, 48 h, and 72 h postoperatively between the two groups. However, patients receiving posterior TAP had a significant reduction in narcotic intake (

conclusionLaparoscopic-assisted TAP block is a safe and effective option for regional analgesia in laparoscopic gynecologic surgery. Posterior TAP block may help to reduce narcotic usage postoperatively.

Indexed as

Gynecologic Surgical ProceduresLaparoscopyAbdominal MusclesAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMiddle AgedNerve BlockPain MeasurementPostoperative PainTreatment OutcomeAnalgesiaMinimally invasive gynecologic surgeryPosterior or lateral transversus abdominis plane block

Identifiers

PMID32831540
PMCPMC7434395

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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.