Evidence map›Paper›PMID 41416367›Full record

ArticleJournal of Yeungnam medical science2026

Quadratus lumborum block for postoperative pain management in patients undergoing ileostomy closure: a prospective, randomized controlled trial.

Su Jin Kang, Soo Yeun Park, Jun Seok Park, Jinseok Yeo

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Article in Journal of Yeungnam medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Su Jin KangColorectal Cancer Center, Kyungpook National University Chilgok Hospital, Daegu, Korea.
Soo Yeun ParkColorectal Cancer Center, Kyungpook National University Chilgok Hospital, Daegu, Korea.
Jun Seok ParkColorectal Cancer Center, Kyungpook National University Chilgok Hospital, Daegu, Korea.
Jinseok YeoDepartment of Anesthesiology and Pain Medicine, Kyungpook National University Chilgok Hospital, Daegu, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuadratus lumborum (QL) block is used for multimodal analgesia following abdominal surgery. We introduced an ultrasound-guided QL block to treat postoperative pain for ileostomy closure. This study aimed to investigate the analgesic efficacy of the QL block compared to placebo after ileostomy closure.

methodsFifty-seven patients undergoing elective ileostomy closure were randomized (1:1) to the placebo or QL block group in this double-blind randomized controlled trial. After general anesthesia, a unilateral QL block was performed under ultrasound guidance. Opioid consumption and numeric rating scale (NRS, 0-10) pain scores were recorded at 2, 6, 12, 24, 48, and 72 hours postoperatively. The primary outcome was the NRS pain score at rest at 6 hours. Secondary outcomes included pain scores, rescue analgesics over 72 hours, Quality of Recovery-15 scores in 24 hours, complications, and length of hospital stay.

resultsBaseline characteristics were similar among the 54 patients (27 per group) who completed the study, excluding three who dropped out. The QL block did not reduce NRS pain scores at rest at 6 hours (median [interquartile range], 5 [4-6] vs. 5 [3-6]; p=0.78). Over the 72-hour postoperative period, pain scores at rest remained comparable between the groups, while the QL group showed slightly lower movement-induced pain at certain time points. The QL group required fewer analgesics and antiemetics at certain intervals, but the total opioid use, length of hospital stay, and quality of recovery were not significantly different.

conclusionThe QL block showed no meaningful advantage in postoperative analgesia compared to placebo for ileostomy closures.

Indexed as

AnalgesiaIleostomyPostoperative painQuadratus lumborum block

Identifiers

PMID41416367
PMCPMC12887128

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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.