Evidence map›Paper›PMID 42553895›Full record

ArticleSaudi journal of anaesthesia

Erector spinae plane block versus transversus abdominis plane block on postoperative analgesia among patients undergoing hysterectomy: A systematic review and meta-analysis of randomized controlled trials.

Ahmed Goda Ahmed, Saeed Baradwan, Wael Mohamed Elmahdi Ibrahim, Othman Saadeldien Yahia, Doaa Mohamed Almonayery, Asmaa Ibraheim Tolba Gad, Amira Ibrahim Lashin, Mona Salah Eldin Sayed, Sherif Kamal Arafa, Ahmed Mohamed Abdelhakim and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Saudi journal of anaesthesia. 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. 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

12 authors.

Ahmed Goda AhmedDepartment of Anesthesia and Intensive Care and Pain Management, Beni-Suef University, Beni-Suef, Egypt.
Saeed BaradwanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Wael Mohamed Elmahdi IbrahimDepartment of Anesthesia and Intensive Care and Pain Management, Al-Azhar University, Cairo, Egypt.
Othman Saadeldien YahiaDepartment of Anesthesia and Intensive Care and Pain Management, Al-Azhar University, Cairo, Egypt.
Doaa Mohamed AlmonayeryDepartment of Anesthesia and Intensive Care and Pain Management, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Asmaa Ibraheim Tolba GadDepartment of Anesthesia and Intensive Care and Pain Management, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Amira Ibrahim LashinDepartment of Anesthesia and Intensive Care and Pain Management, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Mona Salah Eldin SayedDepartment of Anesthesia and Intensive Care and Pain Management, Al-Azhar University, Assiut, Egypt.
Sherif Kamal ArafaDepartment of Anesthesia and Surgical Intensive Care and Pain Medicine, Kafr El Sheikh University, Kafr El Sheikh, Egypt.
Ahmed Mohamed AbdelhakimKasr Al-Ainy, Cairo University, Cairo, Egypt.
Amr Ahmed MagdyDepartment of Anesthesia and Surgical Intensive Care and Pain Medicine, Tanta University, Tanta, Egypt.
Ahmed Abdelaziz ShamaDepartment of Anesthesia and Surgical Intensive Care and Pain Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While the transversus abdominis plane block (TAPB) is commonly used for postoperative analgesia after abdominal procedures, the erector spinae plane block (ESPB) has recently gained attention as an alternative regional anesthesia technique with potential advantages in managing visceral pain. We aimed to conduct a systematic review and meta-analysis to assess the analgesic efficacy of ESPB compared to TAPB under ultrasound guidance following hysterectomy. Materials and Methods: A comprehensive search was conducted across PubMed, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus to identify randomized controlled trials (RCTs) comparing ESPB versus TAPB for pain relief in patients undergoing hysterectomy through January 2026. Meta-analysis was conducted using RevMan software: Review Manager (RevMan), version 5.4.0, The Cochrane Collaboration, Copenhagen, Denmark. The primary outcome was postoperative pain intensity assessed by the 10-cm visual analog scale (VAS), with clinical significance evaluated using minimal clinically important difference (MCID) analysis (threshold 1.0 cm). Secondary outcomes included postoperative opioid consumption and incidence of nausea and vomiting. Results: Six RCTs involving 447 patients were included. ESPB demonstrated significantly lower VAS pain scores compared to TAPB at 2, 4, 6, 12, and 24 h postoperatively ( Conclusion: ESPB demonstrates superior analgesia compared to TAPB following hysterectomy, particularly in the early postoperative period, with reduced opioid consumption and PONV incidence. Further research with standardized protocols is warranted.

Indexed as

Erector spinae plane blockESPBhysterectomypostoperative analgesiaTAPBtransversus abdominis plane block

Identifiers

PMID42553895
PMCPMC13436903

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.