Evidence map›Paper›PMID 40404913›Full record

Trial reportObesity surgery2025

Comparison of Posterior Quadratus Lumborum Block vs Surgical Wound Infiltration in Patients Undergoing Bariatric Sleeve Gastrectomy Surgery.

Ali Shariat, Rishi Kadakia, Hung-Mo Lin, Natalia Egorova, Shirley Jin, Malikah Latmore, Jonathan Epstein, Poonam Pai B H, Koji Park, Subhash Kini and 1 more

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
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

11 authors.

Ali ShariatIcahn School of Medicine at Mount Sinai, New York, United States.
Rishi KadakiaUniversity of California, San Francisco, San Francisco, United States.
Hung-Mo LinYale University, New Haven, United States.
Natalia EgorovaIcahn School of Medicine at Mount Sinai, New York, United States.
Shirley JinNew York University, New York, United States.
Malikah LatmoreIcahn School of Medicine at Mount Sinai, New York, United States.
Jonathan EpsteinIcahn School of Medicine at Mount Sinai, New York, United States.
Poonam Pai B HMemorial Sloan Kettering Cancer Center, New York, United States.
Koji ParkIcahn School of Medicine at Mount Sinai, New York, United States.
Subhash KiniIcahn School of Medicine at Mount Sinai, New York, United States.
Himani V BhattIcahn School of Medicine at Mount Sinai, New York, United States. ranihb@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe are studying whether the performance of the posterior quadratus lumborum block (pQLB) will decrease postoperative opioid consumption in patients undergoing laparoscopic sleeve gastrectomy (LSG) compared with surgical wound infiltration with local anesthetic.

methodsThis is a single-center, prospective, randomized pilot study. Forty ASA 3 patients with severe obesity undergoing LSG were randomized to receive either the pQLB or surgical wound infiltration of local anesthetics. Major endpoints included postoperative analgesic medications in the pQLB group versus the surgical wound infiltration group, visual analog pain scores (VAS 0-10), postoperative time to first opioid, and incidence of nausea and vomiting.

resultsOpioid consumption in morphine equivalents on postoperative days 1 (p = 0.86) and 2 (p = 0.57) was not significantly different between the two groups. However, patients in the pQLB group had significantly lower VAS pain scores on postoperative day 1 (p = 0.003) and postoperative day 2 (p = 0.04) than those who received surgical wound infiltration.

conclusionsThis prospective, randomized pilot study shows that the performance of pQLB did not reduce postoperative opioid consumption in patients undergoing LSG. However, patients who received the pQLB had significantly lower postoperative VAS pain scores. Therefore, the performance of pQLB is both feasible and may provide analgesic benefits in patients undergoing LSG.

Indexed as

Anesthetics, LocalGastrectomyNerve BlockObesity, MorbidPostoperative PainSurgical WoundAbdominal MusclesAdultAnalgesics, OpioidBariatric SurgeryFemaleHumansLaparoscopyMaleMiddle AgedPain MeasurementAnalgesics, OpioidAnesthetics, LocalQuadratus lumborum blockSevere obesitySleeve gastrectomy

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.