Evidence map›Paper›PMID 36575362›Full record

Trial reportJournal of anesthesia2023

Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) vs local infiltration for pain management after laparoscopic cholecystectomy surgery: a randomized study.

Hande Güngör, Bahadir Ciftci, Selcuk Alver, Birzat Emre Gölboyu, Yasar Ozdenkaya, Serkan Tulgar

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of anesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.1field-weighted citation impact, top 3% 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.

NCT05939635 nacompletednot on this map

Bilateral Ultrasound-guided M-Tapa Block vs External Oblique Intercostal Block for Postoperative Analgesia in Patients Undergoing Laparoscopic Sleeve Gastrectomy Surgery: A Prospective Randomized Controlled Study

TypeinterventionalSponsorOndokuz Mayıs UniversityRan2023 to 2024Enrolled66ConditionsAnesthesia, Regional Anesthesia, Postoperative PainArmsBilateral ultrasound guided external oblique intercostal block (EOIB), Bilateral ultrasound guided Modified thoracoabdominal nerves block through perichondrial approach(M-TAPA) block, IV morphine patient-controlled analgesia (PCA)
NCT06652581 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness Of Modified-Thoracoabdominal Nerve Block Perichondrial Approach (M-TAPA) Post-Operative Analgesia Compared To Intravenous Opioids In Laparoscopic Cholecystectomy Patients

TypeinterventionalSponsorUdayana UniversityRan2024 to 2024Enrolled42ConditionsLaparoscopic Cholecystectomy, Peripheral Nerve BlockArmsModified Thorachoabdominal Nerve Block Perichondrial Approach(M-TAPA, Opioid Intravena
NCT06925945 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Pain Between Modified Thoracoabdominal Plane Block and Rectus Block Combination and Intraperitoneal Local Infiltration Analgesia

TypeinterventionalSponsorHaseki Training and Research HospitalRan2025 to 2025Enrolled60ConditionsVisual Analogue ScaleArmsregional anestesia
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Hande GüngörDepartment of Anesthesiology and Reanimation, Istanbul Medipol University, Bagcilar, 34040, Istanbul, Turkey.
Bahadir CiftciDepartment of Anesthesiology and Reanimation, Istanbul Medipol University, Bagcilar, 34040, Istanbul, Turkey. bciftci@medipol.edu.tr.ORCID http://orcid.org/0000-0002-3245-6614
Selcuk AlverDepartment of Anesthesiology and Reanimation, Istanbul Medipol University, Bagcilar, 34040, Istanbul, Turkey.
Birzat Emre GölboyuDepartment of Anesthesiology, Katip Çelebi University, Izmir, Turkey.
Yasar OzdenkayaDepartment of General Surgery, Istanbul Medipol University, Istanbul, Turkey.
Serkan TulgarFaculty of Medicine, Department of Anesthesiology and Reanimation, Samsun University, Samsun Training and Research Hospital, Samsun, Turkey.
Istanbul Medipol University · TRIzmir Kâtip Çelebi University · TRSamsun University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeModified thoracoabdominal nerves block through perichondrial approach (M-TAPA) targets thoracoabdominal nerves. Our primary aim was to compare M-TAPA vs local infiltration on pain management in patients underwent laparoscopic cholecystectomy (LC) surgery.

methodsPatients with ASA class I-II patients aged between 18 and 65 years scheduled for elective LC under general anesthesia were enrolled in the study. There were two randomized groups: Group M: M-TAPA group (n = 30) and the local infiltration (LI) group (n = 30). M-TAPA was performed with totally 40 ml 0.25% bupivacaine in the M group. LI was performed in infiltration group. The primary outcome of the study was pain score in the PACU, the secondary outcomes were the patient satisfaction scores, rescue analgesic need, and adverse effects during the 24-h postoperative period.

resultsThe static NRS scores were significantly lower in Group M at the postoperative first 4 h (p = 0.001). There was a significant decrease in the dynamic NRS scores in Group M at the postoperative first 16 h (p = 0.001). The incidence of nausea was significantly higher in the LI group (12 vs. 5 patients, p = 0.047). The need for rescue analgesia was significantly lower in Group M (p = 0.009). The patient satisfaction scores were significantly higher in Group M (p = 0.001).

conclusionM-TAPA provides superior analgesia compared to LI in patients undergoing LC.

Indexed as

Cholecystectomy, LaparoscopicNerve BlockAdolescentAdultAgedAnesthetics, LocalHumansMiddle AgedPain ManagementPostoperative PainYoung AdultAnesthetics, LocalLaparoscopic cholecystectomyLocal infiltrationPostoperative analgesiaThoracoabdominal nerves block through perichondrial approach

Identifiers

PMID36575362
OpenAlexW4313236500

What OpenQuestion holds

Textmetadata
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.