Trial reportObesity surgery2026
Analgesic Effect of Rectus Sheath Block Versus Local Infiltration Analgesia in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial.
Trial report in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07592091 (Comparison of Rectus Sheath Block and Transversus Abdominis Plane Block for Analgesia in Laparoscopic Bariatric Surgery), which is not on this map. Cited by 1 paper, 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.
Comparison of Rectus Sheath Block and Transversus Abdominis Plane Block for Analgesia in Laparoscopic Bariatric Surgery: A Randomized Controlled Trial
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRectus sheath block (RSB) provides reliable anesthesia to the anteromedial abdominal wall and may offer effective pain control following laparoscopic sleeve gastrectomy (LSG). This study aimed to compare the efficacy of RSB versus local infiltration analgesia (LIA), hypothesizing that RSB would provide superior pain relief.
methodsIn this randomized controlled trial, patients with obesity undergoing LSG received either bilateral ultrasound-guided RSB performed by an anesthesiologist or LIA administered by a surgeon, following anesthesia induction. The primary outcome was intraoperative fentanyl consumption. Secondary outcomes included postoperative pain scores [Numeric Rating Scale (NRS), 0-10], cumulative morphine consumption, and recovery metrics over 48 h.
resultsSixty-nine patients were analyzed (RSB: 35; LIA: 34). Intraoperative fentanyl use was lower with RSB (median difference: - 25 mcg; 95% CI: - 50 to 0; p = 0.008). RSB reduced pain scores at rest at 0 h (-2 points; p = 0.001), 1 h (-1 point; p = 0.009), and 12 h (-1 point; p = 0.022), and pain during movement at 0 h (-3 points; p < 0.001), 12 h (-1 point; p = 0.043), and 36 h (-1 point; p = 0.019). Pain scores were otherwise comparable. Fewer RSB patients reported moderate-to-severe pain at 0 h and 1 h (rest: p = 0.006 and 0.019; movement: p < 0.001 and 0.033). Postoperative morphine use and recovery metrics were similar between groups.
conclusionPre-incisional RSB demonstrated an intraoperative opioid-sparing effect and superior early postoperative analgesia compared with LIA, supporting its role as a component of multimodal analgesia for LSG.
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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 Socratic graph.