Evidence map›Paper›PMID 38977458›Full record

SynthesisAesthetic plastic surgery2025

Local Anesthetic Infiltration for Pain Control in Aesthetic Breast Reduction Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Maysaa Alghamdi, Bader Alsayed, Fatimah Albenmousa, Sumayyah Bin Salleh, Luba Alqaysi, Joud Alfayez, Joana Mandoorah, Reem Alanzi, Ghina Alshayeqe, Sara Albaqmi and 3 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

13 authors.

Maysaa AlghamdiCollege of Medicine, University of Jeddah, Jeddah, Saudi Arabia. MaysaaAlghamdi@outlook.com.ORCID 0009-0004-5061-4403
Bader AlsayedCollege of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Fatimah AlbenmousaCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Sumayyah Bin SallehCollege of Pharmacy, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Luba AlqaysiCollege of Pharmacy, King Khalid University, Abha, Saudi Arabia.
Joud AlfayezCollege of Pharmacy, Qassim University, Buraydah, Saudi Arabia.
Joana MandoorahCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Reem AlanziCollege of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Ghina AlshayeqeCollege of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Sara AlbaqmiCollege of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Ahmed SabiCollege of Medicine, Jazan University, Jazan, Saudi Arabia.
Sultan ArifDepartment of Plastic Surgery and Burn Unit, Security Force Hospital, Riyadh, Saudi Arabia.
Hatan MortadaDivision of Plastic Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAesthetic breast surgeries, including breast reduction, are commonly performed surgical procedures associated with postoperative pain. Pain control is essential to patient comfort, satisfaction, and early recovery. This systematic review is the first to conduct both qualitative and quantitative analysis to evaluate the efficacy and safety of local anesthetic infiltration in reducing pain after breast reduction surgeries.

methodsThis systematic review is registered in PROSPERO, assessed for bias using the RoB2 tool, and follows the PRISMA guidelines. A full electronic search was performed in different databases for all clinical papers on adult female patients undergoing cosmetic breast reduction surgery who were given local anesthetic infiltration for postoperative pain relief.

resultsA systematic review of five randomized clinical trials with a total of 191 patients found that local anesthetic infiltration significantly reduces postoperative pain in breast reduction surgery, reduces opioid consumption, and improves patient outcomes. A meta-analysis of two trials reported the mean VAS score for postoperative pain in the local anesthetic and placebo groups.

conclusionA systematic review and a meta-analysis show a significant reduction in postoperative pain following local anesthetic infiltration, but further research is needed to understand its effectiveness and potential adverse effects. LEVEL OF EVIDENCE I: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Anesthesia, LocalAnesthetics, LocalMammaplastyPain ManagementPostoperative PainAdultFemaleHumansPain MeasurementRandomized Controlled Trials as TopicRisk AssessmentTreatment OutcomeAnesthetics, LocalAesthetic breast surgeryLocal anesthesiaPain managementPostoperative painReduction mammoplasty

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.