Evidence map›Paper›PMID 42620607›Full record

ArticleInternational journal of surgery protocols2026

Ginger as a low-cost option for postoperative nausea and vomiting prevention after laparoscopic surgery in low- and middle-income countries: a systematic review and meta-analysis protocol.

Saad Arsalan Wasti, Areesha Wasti, Haris Bin Khalid, Beenish Sabir, Saif-Ur Rehman, Aiema Hamid, Eman Shafquat, Muhammad Usman Iqbal, Fatima Hajj

Abstract read
In one paragraph

Article in International journal of surgery protocols, 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. 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

9 authors.

Saad Arsalan WastiDepartment of Surgery, King Edward Medical University, Lahore, Pakistan.
Areesha WastiDepartment of Surgery, Continental Medical College, Lahore, Pakistan.
Haris Bin KhalidDepartment of Surgery, Central Park Medical College, Lahore, Pakistan.
Beenish SabirDepartment of Surgery, Rawalpindi Medical University, Rawalpindi, Pakistan.
Saif-Ur RehmanDepartment of Surgery, King Edward Medical University, Lahore, Pakistan.
Aiema HamidDepartment of Surgery, Rawalpindi Medical University, Rawalpindi, Pakistan.
Eman ShafquatDepartment of Surgery, King Edward Medical University, Lahore, Pakistan.
Muhammad Usman IqbalDepartment of Surgery, King Edward Medical University, Lahore, Pakistan.
Fatima HajjFaculty of Medicine, Lebanese University, Beirut, Lebanon.ORCID https://orcid.org/0009-0005-5542-4497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative nausea and vomiting (PONV) is a common complication following laparoscopic surgery and remains a significant source of patient discomfort and healthcare burden. Although pharmacologic prophylaxis is widely used, PONV incidence remains considerable, particularly in low- and middle-income countries (LMICs), where resource constraints may limit access to newer antiemetics. Ginger ( Methods: PubMed, Embase, Scopus, Web of Science, Cochrane Library, and ClinicalTrials.gov will be searched through February 2026 to identify randomized controlled trials comparing ginger with placebo in adults undergoing laparoscopic procedures in LMICs. Gray literature, including Google Scholar and citation tracking, will also be searched. Study selection, data extraction, and risk-of-bias assessment will be conducted independently by two reviewers using the Cochrane Risk of Bias 2 tool. Primary outcomes will include PONV incidence. Secondary outcomes will include nausea and vomiting severity, rescue antiemetic use, and adverse events. Random-effects meta-analysis will be performed using risk ratios or mean differences with 95% confidence intervals. Pre-specified subgroup and sensitivity analyses will be conducted, and evidence certainty will be assessed using GRADE. Results: This review aims to provide a focused synthesis of randomized evidence evaluating ginger for PONV prevention after laparoscopic surgery in LMICs. The findings are expected to clarify its comparative efficacy and safety profile relative to placebo. Conclusion: The findings of this systematic review and meta-analysis are expected to inform perioperative care strategies in resource-limited settings and clarify the potential role of ginger as a low-cost option for PONV prevention.

Indexed as

gingerlaparoscopic surgeryLMICmeta-analysisPONVZingiber officinale

Identifiers

PMID42620607
PMCPMC13485918

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.