Evidence map›Paper›PMID 42158239›Full record

ReviewAnesthesiology research and practice2026

Comparative Efficacy of Ultrasound-Guided Quadratus Lumborum Block Versus Alternative Fascial Plane Blocks for Postoperative Analgesia Following Hysterectomy: A Systematic Review and Meta-Analysis.

Priyanka Dwivedi, Tejas K Patel, Vijeta Bajpai, Chanchal Goyal, Ankita Kabi, Santosh Kumar Sharma, Hari Shanker Joshi, Pratibha Singh

Abstract readReview
In one paragraph

Review in Anesthesiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. 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

8 authors.

Priyanka DwivediDepartment of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, 273008, India, aiims.edu.ORCID https://orcid.org/0000-0003-4697-9552
Tejas K PatelDepartment of Pharmacology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, 273008, India, aiims.edu.ORCID https://orcid.org/0000-0002-8766-5632
Vijeta BajpaiDepartment of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, 273008, India, aiims.edu.
Chanchal GoyalDepartment of Health Research, Ministry of Health and Family Welfare, New Delhi, India, mohfw.gov.bd.
Ankita KabiDepartment of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, 273008, India, aiims.edu.
Santosh Kumar SharmaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, 273008, India, aiims.edu.
Hari Shanker JoshiDirector, ICMR-Regional Medical Research Centre, Gorakhpur, Uttar Pradesh, 273008, India.
Pratibha SinghDepartment of Anaesthesiology, Maharshi Devraha Baba Autonomous State Medical College, Deoria, Uttar Pradesh, 274001, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The primary aim was to compare the efficacy of the quadratus lumborum (QL) block with alternative fascial plane blocks for postoperative analgesia following hysterectomy, while secondary aims were to compare total 24-h analgesic consumption, postoperative pain scores at different time intervals, and the incidence of postoperative nausea and vomiting (PONV) between the QL block and comparator groups. Methods: Electronic databases were systematically searched for studies that compared bilateral ultrasound-guided single-injection QL block to no block or other fascial plane blocks in hysterectomy surgeries. The QL block was compared with other fascial plane blocks, including transversus abdominis plane (TAP), oblique subcostal TAP (OSTAP), erector spinae plane (ESP), and combined TAP with ilioinguinal/iliohypogastric nerve block. The methodological quality of the included studies was assessed using the RoB 2.0 risk-of-bias tool. All outcomes were pooled using the Mantel-Haenszel method and random-effect model. Results: After screening 946 relevant articles, 15 RCTs were included in this meta-analysis. The QL block significantly prolonged the time to first rescue analgesic request compared to the TAP block in the abdominal hysterectomy subgroup (MD 244.77 [95% CI: 191.98 to 297.56], Conclusion: The QL block provides superior postoperative analgesia compared with the TAP block in patients undergoing abdominal and laparoscopic hysterectomy.

Indexed as

analgesiahysterectomynerve blockpainpostoperativesystematic review

Identifiers

PMID42158239
PMCPMC13181214

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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.