Evidence map›Paper›PMID 40216610›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2025

Erector spinae plane block following inguinal hernia repair in adults: a systematic review and meta-analysis of randomized controlled trials.

Bernardo Fontel Pompeu, Patricia Marcolin, Mariana Pereira Silva, Lucas Monteiro Delgado, Beatriz D'Andrea Pigossi, Williams Barbosa Melo, Sergio Mazzola Poli de Figueiredo

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Bernardo Fontel Pompeu *Department of General Surgery, Heliopolis Hospital, São Paulo, SP, Brazil. bernardo.pompeu@online.uscs.edu.br.ORCID 0009-0009-2960-3810
Patricia Marcolin *Federal University of the Southern Broder, Passo Fundo, RS, Brazil.ORCID 0000-0003-3241-5545
Mariana Pereira SilvaFederal University of Ceará, Fortaleza, CE, Brazil.ORCID 0009-0002-6511-8520
Lucas Monteiro DelgadoFederal University of Minas Gerais, Belo Horizonte, MG, Brazil.ORCID 0009-0001-7687-3073
Beatriz D'Andrea PigossiDepartment of General Surgery, Heliopolis Hospital, São Paulo, SP, Brazil.ORCID 0000-0003-4757-8953
Williams Barbosa MeloDepartment of Anesthesiology, Heliopolis Hospital, São Paulo, SP, Brazil.ORCID 0009-0001-5591-5238
Sergio Mazzola Poli de FigueiredoDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0003-2986-8164

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInguinal hernia repair is one of the most common procedures performed by general surgeons worldwide, but postoperative and chronic pain remain significant challenges. This systematic review and meta-analysis aimed to evaluate the efficacy of the erector spinae plane (ESP) block in managing postoperative pain after unilateral inguinal hernia repair.

methodsWe searched PubMed, Embase, and the Web of Science for studies published up to November 2024. Risk ratios (RRs) and mean differences (MDs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Heterogeneity was assessed using I² statistics. Statistical analysis was performed with R Software version 4.4.1 (R Foundation for Statistical Computing).

resultsFour randomized controlled trials were included, encompassing 181 patients who underwent inguinal hernia repair. Of these, 91 (50.3%) were allocated to receive anesthesia with an erector spinae plane (ESP) block, while 90 (49.7%) were assigned to the control group. Compared to conventional anesthesia, the ESP block group demonstrated significantly lower pain scores at 6 h (MD -1.5; 95% CI [-2.5, -0.4]; p < 0.01; I²=85%) and 12 h (MD -0.8; 95% CI [-1.4, -0.2]; p < 0.01; I²=48%). Additionally, ESP block was associated with reduced rates of nausea and vomiting (RR 0.36; 95% CI [0.15, 0.88]; p = 0.025; I²=0%). No significant differences were observed between the groups in pain scores at 2 and 24 h or in analgesic requirements.

conclusionInguinal hernia repair with an ESP block lowered postoperative pain scores and reduced postoperative nausea and vomiting.

Indexed as

Hernia, InguinalHerniorrhaphyNerve BlockParaspinal MusclesPostoperative PainAdultHumansRandomized Controlled Trials as TopicErector spinae plane blockInguinal herniaOpioidsPostoperative pain

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.