Evidence map›Paper›PMID 34480217›Full record

ArticleSurgical endoscopy2022

Purely ropivacaine-based TEA vs single TAP block in pain management after elective laparoscopic colon surgery within an upgraded institutional ERAS program.

Vilma Bumblyte, Suvi K Rasilainen, Anu Ehrlich, Tom Scheinin, Vesa K Kontinen, Aino Sevon, Heikki Vääräniemi, Alexey A Schramko

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06123117 (Single Transversus Abdominis Laparoscopy-guided Plane Block Combined With Local Trocar Site Ropivacaine Infiltration), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT06123117 narecruitingnot on this mapstarted 2024, after this paper: background citation

Single Transversus Abdominis Laparoscopy-guided Plane Block Combined With Local Trocar Site Ropivacaine Infiltration (STALL) vs Sole Local Wound Infiltration in LCC (Laparoscopic CholeCystectomy) - Double-blinded Randomized Controlled Trial.

TypeinterventionalSponsorHelsinki University Central HospitalRan2024 to 2027Enrolled850ConditionsCholelithiasis, Cholecystitis, Gallbladder CancerArmssingle transversus abdominis laparoscopy-guided plane block, local trocar site ropivacaine infiltration
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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  6. Review
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

8 authors at 2 institutions in 1 country.

Vilma Bumblyte *Department of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, P.O. Box 00029 HUS, Espoo, Finland.
Suvi K Rasilainen *Department of Gastrointestinal Surgery, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, Espoo, Finland.
Anu EhrlichDepartment of Surgery and Department of Anaesthesiology, Central Finland Central Hospital, Jyvaskyla, Finland.
Tom ScheininDepartment of Gastrointestinal Surgery, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, Espoo, Finland.
Vesa K KontinenDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, P.O. Box 00029 HUS, Espoo, Finland.
Aino SevonMedical Faculty, University of Helsinki, Helsinki, Finland.
Heikki VääräniemiDepartment of Surgery and Department of Anaesthesiology, Central Finland Central Hospital, Jyvaskyla, Finland.
Alexey A SchramkoDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Jorvi Hospital, P.O. Box 00029 HUS, Espoo, Finland. alexey.schramko@hus.fi.ORCID 0000-0002-3940-7604
University of Helsinki · FICentral Finland Health Care District · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare thoracic epidural analgesia (TEA) with transversus abdominis plane (TAP) block in post-operative pain management after laparoscopic colon surgery.

methodsOne hundred thirty-six patients undergoing laparoscopic colon resection randomly received either TEA or TAP with ropivacaine only. The primary endpoint was opioid requirement up to 48 h postoperatively. Intensity of pain, time to onset of bowel function, time to mobilization, postoperative complications, length of hospital stay, and patients' satisfaction with pain management were also assessed.

resultsWe observed a significant decrease in opioid consumption on the day of surgery with TEA compared with TAP block (30 mg vs 14 mg, p < 0.001). On the first two postoperative days (POD), the balance shifted to opioid consumption being smaller in the TAP group: on POD 1 (15.2 mg vs 10.6 mg; p = 0.086) and on POD 2 (9.2 mg vs 4.6 mg; p = 0.021). There were no differences in postoperative nausea/vomiting or time to first postoperative bowel movement between the groups. No direct blockade-related complications were observed and the length of stay was similar between TEA and TAP groups.

conclusionTEA is more efficient for acute postoperative pain than TAP block on day of surgery, but not on the first two PODs. No differences in pain management-related complications were detected.

Indexed as

LaparoscopyPain ManagementAbdominal MusclesAnalgesics, OpioidColonHumansPostoperative PainRopivacaineAnalgesics, OpioidRopivacaineERAS (enhanced recovery after surgery)Laparoscopic colon surgeryPain managementThoracic epidural analgesiaTransversus abdominis plane block

Identifiers

PMID34480217
PMCPMC8415194
OpenAlexW3197835054

What OpenQuestion holds

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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.