Evidence map›Paper›PMID 37930427›Full record

ArticleInternational urogynecology journal2024

The effect of sugammadex on postoperative urinary retention post-laparoscopic and robotic hysterectomy with and without concomitant procedures.

Omar F Dueñas-Garcia, Twisha Shah, Lexi Fritts, Katherine Leung, Nasser Alrayyes, Katerina Garcia, Michael Flynn, Robert Shapiro, Manuel Vallejo

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  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.

Omar F Dueñas-GarciaObstetrics and Gynecology Department West Virginia University, 1 Medical Centre Drive, Morgantown, WV, 26508, USA. omar.duenasgarcia@hsc.wvu.edu.ORCID 0000-0003-1663-8415
Twisha ShahWest Virginia University, Medical School, Morgantown, WV, USA.
Lexi FrittsWest Virginia University, Medical School, Morgantown, WV, USA.
Katherine LeungObstetrics and Gynecology Department, University of Massachusetts, Worcester, MA, USA.
Nasser AlrayyesWest Virginia University, Medical School, Morgantown, WV, USA.
Katerina GarciaWest Virginia University, Medical School, Morgantown, WV, USA.
Michael FlynnObstetrics and Gynecology Department, University of Massachusetts, Worcester, MA, USA.
Robert ShapiroObstetrics and Gynecology Department West Virginia University, 1 Medical Centre Drive, Morgantown, WV, 26508, USA.
Manuel VallejoDepartment of Anesthesia and Medical Education, West Virginia University, Morgantown, WV, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis study was aimed at determining the effect of sugammadex versus a combination of glycopyrrolate and neostigmine (GN) for neuromuscular reversal blockage on transient postoperative urinary retention (TPOUR) in patients undergoing a laparoscopic and robot-assisted laparoscopic hysterectomy.

methodsWe conducted a retrospective cohort study in patients undergoing a laparoscopic or robotic hysterectomy between February 2017 and December 2021. Patients with and without concomitant procedures were included. Demographics and perioperative data were extracted from the patient's medical record. Before discharge, all patients were required to spontaneously void and have a post-void residual of less than 150 ml.

resultsWe identified 500 patients and 485 were included in the final analysis. We had 319 subjects who received sugammadex and 166 GN combination. Both groups had overall similar demographics and perioperative characteristics. Most patients had a conventional laparoscopy procedure (391 [82.5%]) compared with robotic (83 [17.5%]). Patients who received GN were significantly more likely to be discharged home with an indwelling catheter (odds ratio [OR], 1.82; 95% confidence interval [CI], 1.09-3.05). After adjusting for perioperative medications and sling implantation during the surgery a logistic regression model continued to demonstrate that patients who received GN had significantly higher odds of being discharged with a catheter (OR, 1.79; 95% CI, 1.03-3.12).

conclusionsOur findings suggest that sugammadex decreases the odds of TPOUR after laparoscopic hysterectomies with and without slings compared with the combination of GN. Additional prospective trials are required to confirm this finding.

Indexed as

HysterectomyLaparoscopyNeostigminePostoperative ComplicationsRobotic Surgical ProceduresSugammadexUrinary RetentionAdultFemaleGlycopyrrolateHumansMiddle AgedRetrospective StudiesGlycopyrrolateNeostigmineSugammadexGlycopyrrolateHysterectomyNeostigminePostoperative urinary retentionSugammadex

Identifiers

PMID37930427

What OpenQuestion holds

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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.