Evidence map›Paper›PMID 34537121›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Posterior quadratus lumborum versus transversus abdominis plane block for inguinal hernia repair: a prospective randomized controlled study.

Onur Okur, Duygu Karaduman, Zeki Tuncel Tekgul, Noyan Koroglu, Mehmet Yildirim

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT05847842 nacompletednot on this map

Comparison of the Effects of Local Anesthetic Infiltration and Different Fascial Plane Blocks on Postoperative Recovery Quality and Pain in Inguinal Hernia Repair

TypeinterventionalSponsorEskisehir Osmangazi UniversityRan2023 to 2025Enrolled90ConditionsPostoperative Pain, Inguinal Hernia, Local Infiltration, Quality of RecoveryArmsAnterior quadratus lumborum block, Transversus abdominis plane block, Local infiltration
NCT07527065 naenrolling by invitationnot on this map

Comparison of the Postoperative Analgesic Efficacy of Ultrasound-Guided TAP Block and Quadratus Lumborum Block in Spinal Anaesthesia for Open Inguinal Hernia Repair

TypeinterventionalSponsorHitit UniversityRan2025 to 2026Enrolled70ConditionsPostoperative PainArmsTransversus Abmoninis Plane Block, Quadro-Iliac Plane Block
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Onur OkurIstanbul Prof. Dr. Cemil Tascioglu City Hospital, Sisli, Istanbul. Electronic address: onurokur@live.com.
Duygu KaradumanSiirt Kurtalan State Hospital, Siirt, Turkey.
Zeki Tuncel TekgulIzmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Noyan KorogluIzmir Katip Celebi University Medical School, Ataturk Training and Research Hospital, Izmir, Turkey.
Mehmet YildirimIzmir Bozyaka Training and Research Hospital, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesWe aimed to compare the analgesic effects of both posterior (type 2) Quadratus Lumborum Block (QLB) and Transversus Abdominis Plane Block (TAPB) compared to spinal anesthesia alone for postoperative pain management in inguinal hernia repair.

methodsThis study enrolled 63 patients scheduled for open inguinal hernia repair. The eligibility criteria were undergoing elective unilateral inguinal hernia repair surgery, having an American Society of Anesthesiologists (ASA) physical status I, II, or III, and not suffering from any chronic pain condition. Group S patients received spinal anesthetics and no additional analgesic treatments. Group T patients received TAPB, and Group Q patients received QLB as analgesic technique in addition to spinal anesthetics.

resultsThe pain scores at 6 hours (VAS 6) and 24 hours (VAS 24) were significantly different between groups (p < 0.01). Additionally, the sensory and motor block levels were significantly different between groups (p < 0.05). Multiple comparison tests showed that patients in Group Q had significantly higher sensory and motor block levels (p < 0.01 compared with Group S; p < 0.05 compared with Group T). Opioid consumption was significantly different between Groups Q and S (p < 0.01) after surgery.

conclusionsOur findings show that both blocks are similarly effective for the management of postoperative pain compared to spinal anesthesia alone for inguinal hernia repair. We found that QLB resulted in a significant cranial spread compared to TAPB. Opioid consumption in QLB was significantly lower than that in controls but similar to that in TAPB.

Indexed as

Hernia, InguinalNerve BlockAbdominal MusclesAnesthetics, LocalHumansPostoperative PainProspective StudiesAnesthetics, LocalInguinal herniaPostoperative painQuadratus lumborum plane blockSpinal anesthesiaTransversus abdominis plane block

Identifiers

PMID34537121
PMCPMC9373607

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.