Evidence map›Paper›PMID 41417185›Full record

SynthesisObesity surgery2026

Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Bariatric Surgery: A Systematic Review and Network meta-analysis.

Gaohui Wu, Yanlin Yang, Yubo Fang, Chenhao Wang, Shenghua Li, Jingli Chen

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2026. 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. Article
  3. 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

6 authors.

Gaohui Wu *Department of Anesthesiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China.
Yanlin Yang *Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Yubo FangDepartment of Anesthesiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China.
Chenhao WangDepartment of Anesthesiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China.
Shenghua LiDepartment of Anesthesiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China.
Jingli ChenDepartment of Anesthesiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China. Chenjinli2001@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionManaging postoperative pain in patients following bariatric surgery is challenging. Although transversus abdominis plane block (TAPB) and erector spinae plane block (ESPB) have proved effective for pain relief, the analgesic efficacy between them remains controversial. This network meta-analysis was conducted to compare the postoperative analgesic efficacy of ESPB and TAPB in bariatric surgery.

methodsPubMed, Embase, Web of Science, and Cochrane Library databases were systematically searched to select randomised controlled trials (RCTs) examining the analgesic efficacy of ESPB or TAPB in bariatric surgery. The primary outcome was 24-hour postoperative opioid consumption. Secondary outcomes included postoperative pain scores at early, middle, and late period, and time to first rescue analgesia. Network meta-analysis (NMA) was conducted using a frequentist approach.

resultsFourteen RCTs involving 1,063 patients were eligible for this NMA. This NMA showed that ESPB ranked highest in reducing 24-hour postoperative opioid consumption (0.970), decreasing middle and late postoperative pain scores (0.936 and 0.897, respectively), and prolonging the time to first rescue analgesia (0.955). However, TAPB was the best choice for early-pain relief (0.847).

conclusionsBoth techniques can provide effective postoperative analgesia, while ESPB is more effective in reducing 24-hour postoperative opioid consumption, alleviating middle and late postoperative pain, and prolonging the time to first rescue analgesia. However, further studies are needed to determine the optimal postoperative analgesic regimen for bariatric surgery.

Indexed as

Bariatric SurgeryNerve BlockPostoperative PainAbdominal MusclesAnalgesiaAnalgesics, OpioidHumansNetwork Meta-Analysis as TopicParaspinal MusclesRandomized Controlled Trials as TopicTreatment OutcomeAnalgesics, OpioidAnalgesiaBariatric surgeryNerve blockNetwork meta-analysisPostoperative pain

Identifiers

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Registered trials

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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.