Evidence map›Paper›PMID 37667104›Full record

Trial reportObesity surgery2023

The Impact of Laparoscopic Intraperitoneal Instillation of Ropivacaine in Enhancing Respiratory Recovery and Reducing Acute Postoperative Pain in Laparoscopic Sleeve Gastrectomy: a Double-Blinded Randomised Control; RELiEVE Trial.

Lee Qi Zheng, Nik Ritza Kosai, Mohd Firdaus Che Ani, Muhammad Maaya

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Lee Qi ZhengUpper-Gastrointestinal Surgery Unit, MIS, Bariatric Surgery Unit, Department of Surgery, Faculty of Medicine, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, Malaysia. Me24556@gmail.com.
Nik Ritza KosaiUpper-Gastrointestinal Surgery Unit, MIS, Bariatric Surgery Unit, Department of Surgery, Faculty of Medicine, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, Malaysia.
Mohd Firdaus Che AniDepartment of Surgery, Faculty of Medicine, Universiti Teknologi MARA, Jalan Ilmu 1/1, 40450, Shah Alam, Selangor, Malaysia.
Muhammad MaayaDepartment of Anaesthesiology & Critical Care, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, Malaysia.
Hospital Kuala Lumpur · MYUniversiti Teknologi MARA · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic intraperitoneal instillation of local anaesthetic in bariatric surgery proven to reduce postoperative pain. Limited data are available regarding the use of instillation ropivacaine and its impact on the recovery of respiratory effort. This study aims to evaluate the efficacy of laparoscopic intraperitoneal instillation of ropivacaine in reducing acute postoperative pain and enhancing the recovery of respiratory effort in laparoscopic sleeve gastrectomy. MATERIALS AND

methodsThis double-blinded RCT enrolled 110 patients who underwent laparoscopic sleeve gastrectomy at Hospital Canselor Tuanku Muhriz UKM from November 2020 to May 2021. Any patients with previous abdominal surgery, chronic kidney disease, or liver disease were excluded. The patients were randomised into two groups: (i) the IPLA group which received ropivacaine intraperitoneal instillation at the dissected left crus and (ii) the placebo group (sterile water instillation). Perioperative analgesia was standardised. The first 24-h postoperative pain was assessed using a VAS. The respiratory effort was assessed using incentive spirometry simultaneously.

resultsTotal of 110 patients were recruited. The VAS score was lower with an enhanced recovery of respiratory effort in the local anaesthetic group compared to the placebo group (P < 0.05) within the first 24 h postoperatively. In addition, the placebo group required additional postoperative analgesia (P < 0.05). No side effects were reported with the use of intraperitoneal instillation of ropivacaine.

conclusionThe use of intraperitoneal instillation of ropivacaine in laparoscopic sleeve gastrectomy is recommended as it is safe, effectively reduces acute postoperative pain, and enhances the recovery of respiratory effort postoperatively.

Indexed as

LaparoscopyObesity, MorbidAnesthetics, LocalGastrectomyHumansPostoperative PainRopivacaineAnesthetics, LocalRopivacaineIncentive spirometryIntraperitoneal instillationLaparoscopic sleeve gastrectomy surgeryLocal anaesthesiaPostoperative painRespiratory effortRopivacaineVisual analogue score

Identifiers

PMID37667104
OpenAlexW4386413128

What OpenQuestion holds

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Read underepoch 390

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.