Superior hypogastric plexus (SHP) block during minimally invasive hysterectomy: A systematic review.
Superior hypogastric plexus
hysterectomy
minimally invasive surgery
postoperative pain
systematic review
Journal
Turkish journal of obstetrics and gynecology
ISSN: 2149-9322
Titre abrégé: Turk J Obstet Gynecol
Pays: Turkey
ID NLM: 101656661
Informations de publication
Date de publication:
27 Jun 2022
27 Jun 2022
Historique:
entrez:
30
6
2022
pubmed:
1
7
2022
medline:
1
7
2022
Statut:
ppublish
Résumé
To systematically summarize the efficacy and safety of superior hypogastric plexus (SHP) block versus no SHP block among patients undergoing minimally invasive hysterectomy (MIH). Five information sources were screened from inception until 04.04.2022 and comprised the Cochrane Central Register of Controlled Trials, PubMed, Embase, Scopus, and Web of Science. The inclusion criteria comprised (i) patients: individuals undergoing MIH, (ii) intervention: SHP block, (iii) Comparator: no SHP block, (iv) Outcomes: postoperative pain, postoperative opioid consumption, operation time, estimated intraoperative blood loss, hospital stay, and complications/toxicities, and (v) Study design: randomized controlled trials (RCTs) and non-randomized comparative trials published in peer-reviewed journals. Owing to the insignificant number of available studies, methodologic heterogeneity, and procedural variances, it was impossible to carry out a quantitative meta-analysis. Hence, the results of the included studies were only reported qualitatively (descriptively). Three studies (2 RCTs and 1 cohort study), comprising 210 patients (SHP=107 and non-SHP=103) were included in the qualitative synthesis. Overall, the included studies had a low risk of bias. The results showed that SHP block appeared largely safe and could reduce postoperative pain and opioid consumption. However, SHP block did not offer clinical benefits in terms of reduced operation time, intraoperative blood loss, and hospital stay compared with non-SHP block. Among patients undergoing MIH, this first ever systematic review showed that SHP block was safe and exhibited potential analgesic and opioid-sparing effects postoperatively. Additional RCTs are needed to carry out a powered meta-analysis and validate the findings.
Identifiants
pubmed: 35770442
doi: 10.4274/tjod.galenos.2022.49696
pmc: PMC9249362
doi:
Types de publication
Journal Article
Langues
eng
Pagination
170-177Informations de copyright
©Copyright 2022 by Turkish Society of Obstetrics and Gynecology, Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House.
Déclaration de conflit d'intérêts
Conflict of Interest: No conflict of interest was declared by the authors.
Références
Stat Med. 2017 Apr 15;36(8):1210-1226
pubmed: 28083901
J Minim Invasive Gynecol. 2020 May - Jun;27(4):860-867
pubmed: 31319172
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Eur J Epidemiol. 2010 Sep;25(9):603-5
pubmed: 20652370
Curr Pain Headache Rep. 2021 Feb 25;25(3):13
pubmed: 33630172
BMJ. 2005 Jun 25;330(7506):1478
pubmed: 15976422
Pain Physician. 2008 Mar;11(2 Suppl):S105-20
pubmed: 18443635
Curr Med Res Opin. 2019 Dec;35(12):2129-2136
pubmed: 31315466
BMJ Evid Based Med. 2022 Apr;27(2):109-119
pubmed: 33298465
J Minim Invasive Gynecol. 2022 Jan;29(1):94-102
pubmed: 34197956
Clin J Pain. 2020 Jan;36(1):41-46
pubmed: 31567396
Pain. 1993 Aug;54(2):145-151
pubmed: 8233527
BJOG. 2017 Jan;124(2):270-276
pubmed: 27292167
Arch Gynecol Obstet. 2013 May;287(5):907-18
pubmed: 23291924
Obstet Gynecol. 2021 Apr 1;137(4):648-656
pubmed: 33706344
Pain Pract. 2001 Jun;1(2):162-70
pubmed: 17129292
JAMA Surg. 2017 Mar 1;152(3):292-298
pubmed: 28097305
Croat Med J. 2021 Oct 31;62(5):472-479
pubmed: 34730887
Obstet Gynecol. 2017 Jun;129(6):e155-e159
pubmed: 28538495
J Minim Invasive Gynecol. 2019 May - Jun;26(4):740-747
pubmed: 30165185
J Matern Fetal Neonatal Med. 2020 Aug;33(15):2657-2663
pubmed: 31578111
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
J Am Assoc Gynecol Laparosc. 1999 Feb;6(1):15-29
pubmed: 9971847
J Minim Invasive Gynecol. 2019 Feb;26(2):327-343
pubmed: 30580100