Observational studyBMC anesthesiology2025
Rectus sheath blocks for pediatric laparoscopic appendicectomy.
Observational study in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06913205 (Comparison of Regional Block Techniques Used for Postoperative Pain Management in Laparoscopic Appendectomy in Children), which is not on this map. Not yet cited in PubMed.
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.
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.
Comparison of Regional Block Techniques Used for Postoperative Pain Management in Laparoscopic Appendectomy in Children
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute appendicitis is the leading cause of abdominal surgical emergencies, and appendicectomy is a commonly performed surgery. Although generally regarded as minor, appendicectomies can lead to significant postoperative pain. Rectus sheath blocks (RSB) can provide effective analgesia for 3-port laparoscopic appendicectomy.
methodsA total of 145 patients aged between 8 and 18 years who underwent laparoscopic appendicectomy were included in this prospective observational study. The study cohort was analyzed in two groups: patients who received RSB (RSB group, n = 68) and control patients who did not receive any type of regional blocks (Control group, n = 77). Data on postoperative pain scores, total analgesic consumption, and the cutaneous sensory coverage of RSB in the port entry areas were collected.
resultsPostoperative pain scores at the 3rd hour were significantly lower in the RSB group compared to the controls (p < 0.001). Total paracetamol use in the first 24 h was also reduced in the RSB group (p < 0.001). The need for rescue analgesics was slightly lower in the RSB group (p = 0.047). Total procedural time showed no significant difference between the groups. In the postoperative 3rd hour assessment of the RSB blocks: all patients experienced visceral pain to varying degrees, three (4.4%) had pain at the umbilical port entry site, fourteen (20.6%) had pain at the left iliac fossa port entry site, and eight (11.8%) had pain at the suprapubic port entry site.
conclusionsRSB can improve pain scores and reduce overall analgesic consumption in pediatric laparoscopic appendicectomies. However, RSB may miss the lateral trocar entry site, and suprapubic coverage can differ among individuals.
trial registrationNCT06913205.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.