Continuous transversus abdominis plane blocks in patients undergoing minimally invasive colorectal surgery: a randomized pilot study

Honaker, Michael D; Hawes, Casey Chinn; Vinter, Dana Alina; Montgomery, Anne; Parker, J.; Smith, Beverly A.

doi:10.1007/s00384-021-03978-8

Cited by 3 publications

(6 citation statements)

References 16 publications

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“…Of these, 354 manuscripts were excluded because they did not meet inclusion criteria. Of the remaining 103 RCTs selected to undergo full text data extraction, another 31 studies were excluded at closer examination: six studies in a language other than English, [8][9][10][11][12][13] two studies with no access to full-text, 14,15 thirteen studies with no pain scores reported [16][17][18][19][20][21][22][23][24][25][26][27][28] and ten studies that combined different types of surgery without laparoscopic colorectal surgery subgroup analysis. [29][30][31][32][33][34][35][36][37][38] A total of 72 RCTs were included.…”

Section: Resultsmentioning

confidence: 99%

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery

Lirk,

Badaoui,

Stuempflen

et al. 2024

European Journal of Anaesthesiology

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Colorectal cancer is the second most common cancer diagnosed in women and third most common in men. Laparoscopic resection has become the standard surgical technique worldwide given its notable benefits, mainly the shorter length of stay and less postoperative pain. The aim of this systematic review was to evaluate the current literature on postoperative pain management following laparoscopic colorectal surgery and update previous procedure-specific pain management recommendations. The primary outcomes were postoperative pain scores and opioid requirements. We also considered study quality, clinical relevance of trial design, and a comprehensive risk–benefit assessment of the analgesic intervention. We performed a literature search to identify randomised controlled studies (RCTs) published before January 2022. Seventy-two studies were included in the present analysis. Through the established PROSPECT process, we recommend basic analgesia (paracetamol for rectal surgery, and paracetamol with either a nonsteroidal anti-inflammatory drug or cyclo-oxygenase-2-specific inhibitor for colonic surgery) and wound infiltration as first-line interventions. No consensus could be achieved either for the use of intrathecal morphine or intravenous lidocaine; no recommendation can be made for these interventions. However, intravenous lidocaine may be considered when basic analgesia cannot be provided.

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Section: Resultsmentioning

confidence: 99%

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery

Lirk,

Badaoui,

Stuempflen

et al. 2024

European Journal of Anaesthesiology

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“…Fifteen surgical trials were identified ranging from the publication years of 2000 to 2022 (Table 1). [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Nine studies (66.6%) were performed in a single institution and state. In 6 six studies (40%), the predominant source of funding was government funding.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…12,20,22,[24][25][26] The number of participants ranged from 17 participants 24 to 872 participants. 21 Surgical trials included in our study predominantly evaluated surgical procedures/interventions, encompassing 40% of studies (n = 6), [15][16][17][18]24 33.3% (n = 5) 12,13,19,22,26 evaluating postoperative outcomes, and 26.7% (n = 4) evaluating long-term survival or oncological outcomes. 14,20,21,23…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…14,[17][18][19][20][21][22][24][25][26] Five surgical trials (33.3%) reported race. 12,13,15,16,23 Of the 5 trials reporting race, 2 trials reported race as the proportion of White participants included in the study only. 12,13 Three trials had detailed information on the race description of their participants with the following categories: White, Black, Asian, American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and Middle Eastern.…”

Section: Race and Ethnicity Description Of Included Studiesmentioning

confidence: 99%

“…12,13,15,16,23 Of the 5 trials reporting race, 2 trials reported race as the proportion of White participants included in the study only. 12,13 Three trials had detailed information on the race description of their participants with the following categories: White, Black, Asian, American Indian, Alaska Native, Native Hawaiian, Pacific Islander, and Middle Eastern. 15,16,23 When evaluating ethnicity descriptions available in surgical trials, 11 trials (73.3%) did not report the ethnicity of their participants.…”

Section: Race and Ethnicity Description Of Included Studiesmentioning

confidence: 99%

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United States–Based Colorectal Cancer Surgical Trials Lack Representation and Adequate Reporting of Racially and Ethnically Diverse Participants: Systematic Review and Regression Analysis

Ore,

Areán-Sanz,

Liu

et al. 2024

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Despite the established National Institute of Health Revitalization Act, which aims to include ethnic and racial minority representation in surgical trials, racial and ethnic enrollment disparities persist. OBJECTIVE: To assess the proportion of patients from minority races and ethnicities that are included in colorectal cancer surgical trials and reporting characteristics. DATA SOURCES: Search was performed using MEDLINE (Ovid), Embase, Web of Science, and Cochrane Central STUDY SELECTION: Inclusion criteria included (1) trials performed in the United States between January 1, 2000, and May 30, 2022; (2) patients with colorectal cancer diagnosis; and (3) surgical intervention, technique, or postoperative outcome. Trials evaluating chemotherapy, radiotherapy or other nonsurgical interventions were excluded. INTERVENTIONS: Pooled proportion and regression analysis was performed to identify proportion of patients by race and ethnicity included in surgical trials, and association of year of publication and funding source. MAIN OUTCOME MEASURES: Proportion of trials reporting race and reporting ethnicity, and proportion of participants by race and ethnicity included in surgical trials. RESULTS: We screened 10,673 unique publications, of which 80 were examined in full-text. 15 studies met our inclusion criteria. 66.7% (10) of trials did not report race, three reported races as proportion of White participants only, and three reported 3 or more races. There was no description of ethnicity in 73.3% (11) of trials, with two describing “non-Caucasian” as ethnicity, and two describing only Hispanic ethnicity. Pooled proportion of White participants was 81.3%, 6.2% for Black participants, 3.6% for Asian and 3.5% for Hispanic participants. LIMITATIONS: A small number of studies where identified that reported racial or ethnic characteristics of their participants. CONCLUSIONS: Both race and ethnicity are severely underreported in colorectal cancer surgical trials. To improve outcomes and ensure the inclusion of vulnerable populations in innovative technologies and novel treatments, reporting must be closely monitored.

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Transversus abdominis plane block for laparoscopic colorectal surgery: A meta-analysis of randomised controlled trials

Liu¹,

Lu²,

Lin³

et al. 2022

International Journal of Surgery

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Continuous transversus abdominis plane blocks in patients undergoing minimally invasive colorectal surgery: a randomized pilot study

Cited by 3 publications

References 16 publications

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery

United States–Based Colorectal Cancer Surgical Trials Lack Representation and Adequate Reporting of Racially and Ethnically Diverse Participants: Systematic Review and Regression Analysis

Transversus abdominis plane block for laparoscopic colorectal surgery: A meta-analysis of randomised controlled trials

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