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Superior Hypogastric Plexus Block for Pain Management Post-Hysterectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Research Authors
Ahmed Abdelaziz Abdelaziz Shama, Ahmed Mahmoud MM Elgarhy, Tamer MA Ewieda, Wael Mohamed Elmahdi Ibrahim, Mahmoud M Elsayed, Mohamed Hassan Arafa, Othman Saad-Eldeen Yahia, Abdelkarem Hussiny Ismail Elsayed, Doaa Mohamed Almonayery, Ahmed Mohamed Abdelhak
Research Date
Research Journal
Journal of Pain & Palliative Care Pharmacotherapy
Research Publisher
Taylor & Francis
Research Year
2022
Research_Pages
1-9
Research Abstract

We aimed to evaluate the efficacy of superior hypogastric plexus (SHP) block in pain relief among women undergoing hysterectomy. Cochrane Library, PubMed, ISI web of science, and Scopus were searched from inception to May 2021 for the available randomized clinical trials (RCTs). We included RCTs that compared SHP block (intervention group) to saline (control group) in hysterectomy. Our primary outcomes were pain scores at different time intervals using the Visual Analog Scale (VAS). Our secondary outcomes were postoperative opioid consumption within 24 hours and postoperative nausea and vomiting incidence. We extracted the available data from included studies and pooled them in a meta-analysis model using RevMan software. Four RCTs with a total number of 289 patients met our inclusion criteria. The VAS pain scores were significantly declined at post-anesthesia care unit (PACU), 2, 6, and …