SynthesisWorld journal of surgery2025
The Role of Surgical Techniques in Reducing Postoperative Pain in Abdominal Surgery: Evidence From the PROSPECT Systematic Reviews.
Synthesis in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Role of Surgical Techniques in Reducing Postoperative Pain in Abdominal Surgery: Evidence From the PROSPECT Systematic Reviews.World journal of surgery · 2025Pooled it
- Da VinciSurgical endoscopy · 2026Article
- Which fascial plane block is right for my patient? A practical decision-making algorithm for abdominal surgery.Journal of anesthesia, analgesia and critical care · 2026Review
- Predictors of Postoperative Complications After Retromuscular Incisional Hernia Repair: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInadequate postoperative pain control remains a significant concern as patients continue to experience moderate-to-severe pain after surgery. The influence of surgical techniques has not previously been systematically reviewed.
methodsIn this clinical review, data regarding the influence of surgical techniques on postoperative pain after abdominal surgery were extracted and collated from seven published PROSPECT recommendations. The effects of surgical incision and its technique, laparoscopic technique, and local anesthetic infiltration were critically reviewed. The surgical techniques that are recommended and those that are not recommended for the seven procedures are presented.
resultsIn general, very few studies have assessed the influence of surgical techniques on postoperative pain management. PROSPECT recommends transverse over vertical incision for open colorectal surgery, and cutting diathermy over use of scalpel in appendicectomy, inguinal hernia, and open colorectal surgeries. For laparoscopic cholecystectomy, a three-port (vs. four-port) technique and low-pressure pneumoperitoneum (< 12 mmHg) are recommended to reduce the risk of postoperative shoulder pain.
conclusionThis clinical review demonstrates the important role of surgeons in achieving clinically significant benefits by using appropriate incision techniques, laparoscopic methods, and local anesthetic infiltration. Effective pain relief after surgery can improve recovery and reduce the risk of chronic pain. Our study emphasizes the need for future research in this field.
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