Background
Methods
Literature search
Article selection
Data extraction
Assessment of study quality
Statistical analysis
Results
Identification of studies and quality of the RCTs
Characteristics of included RCTS
Num | M/F ratio | Age (year) | BMI (kg/m2) | |||||
---|---|---|---|---|---|---|---|---|
Study | SA | GA | SA | GA | SA | GA | SA | GA |
Kalaivani V. [20], 2014 | 23 | 25 | 10/15 | 8/17 | 45 ± 11.73b | 47.84 ± 10.49b | – | – |
Bessa SS. [1], 2012 | 86 | 90 | 11/79 | 8/82 | 40 | 44 | 28.7 | 29.1 |
(16–50)a | (19–50)a | (22.8–34)a | (23.4–33.1)a | |||||
Imbelloni LE, [21], 2010 | 34 | 33 | 26/9 | 23/10 | 41.1 ± 12.4b | 45.2 ± 12.1b | – | – |
Tzovaras G. [10], 2008 | 49 | 48 | 29/20 | 30/18 | 44 | 46 | 25 | 26 |
(23–65)a | (26–65)a | (18–30)a | (19–30)a | |||||
Ellakany M. [22], 2013 | 20 | 20 | 8/12 | 7/13 | 45.9 ± 13.6b | 44.3 ± 13.2b | 29.8 ± 4.1b | 30.0 ± 3.9b |
Bessa SS [23], 2010 | 30 | 30 | 5/25 | 6/24 | 41.4 ± 11.1b | 40.9 ± 11b | 31.3 ± 4.1b | 30.8 ± 6.6b |
Tiwari S [12], 2013 | 110 | 114 | 13/96 | 16/98 | 45.07 ± 13.19b | 46.10 ± 12.9b | - | - |
Quantitative synthesis
Primary outcomes
VAS (2–4 h) | VAS (6–8 h) | VAS (24 h) | ||||
---|---|---|---|---|---|---|
Study | SA | GA | SA | GA | SA | GA |
Kalaivani V. [20], 2014 | 0.45 ± 1.35b | 4.16 ± 1.22b | 3.55 ± 0.90b | 4.92 ± 1.38b | 3.80 ± 0.97b | 3.48 ± 0.94b |
Bessa SS. [1], 2012 | 4 (0–10)a | 6 (3–10)a | 4 (1–10)a | 4 (1–10)a | - | - |
Imbelloni LE [21], 2010 | - | - | - | - | - | - |
Tzovaras G. [10], 2008 | 0 (0–4)a | 3 (0–8)a | 0 (0–6)a | 2 (0–7)a | 0 (0–4)a | 1 (0–6)a |
Ellakany M. [22], 2013 | 1.2 ± 1.2b | 2.3 ± 1.6b | 1.6 ± 1.4b | 3.4 ± 1.9b | 0.8 ± 0.7b | 2.3 ± 1.5b |
Bessa SS [23], 2010 | 5 (0–8)a | 5 (2–9)a | 2 (1–6)a | 3 (0–5)a | 2 (0–4)a | 2 (1–8)a |
Tiwari S [12], 2013 | - | - | 1 (0–4)a | 4 (1–7)a | 0 (0–2)a | 1 (0–4)a |
Quantitative synthesis | Heterogeneity | Bias | |||||
---|---|---|---|---|---|---|---|
Outcomes | OR (95 % CI) | z |
p
| I2 |
P
|
P
| |
VAS (2–4 h) | −1.64 | −2.54 | 3.62 | P = 0.000 | 93 % | P = 0.000 | 0.61 |
−0.76 | |||||||
VAS (6-8 h) | −1,277 | −2.3 | 2.44 | P = 0.015 | 97 % | P = 0.000 | 0.94 |
−0.25 | |||||||
VAS (24 h) | −0.42 | −1.07 | 1.37 | P = 0.17 | 88 % | P = 0.000 | 0.51 |
0.18 |
Secondary outcomes
Operating time (min) | Intraoperative events in spinal anesthesia group | ||||
---|---|---|---|---|---|
Study | SA | GA | Shoulder pain | Nausea and vomiting | Hypotension |
Kalaivani V1. [20], 2014 | 97.2 ± 34.08b | 81.95 ± 20.97b | 6 | 1 | 9 |
Bessa SS. [1], 2012 | 35 (20–78)a | 35 (19–75)a | 32 | - | 29 |
Imbelloni LE [21], 2010 | 62.9 ± 11.3b | 66.8 ± 12.5b | 16 | 1 | 14 |
Tzovaras G. [10], 2008 | 45 (20–90)a | 47 (20–110)a | 21 | - | - |
Ellakany M1. [22], 2013 | 67.3 ± 16.3b | 68.6 ± 16.6b | - | 3 | 8 |
Bessa SS [23], 2010 | 41.7 ± 14.7b | 40.4 ± 15.6b | 9 | 1 | 9 |
Tiwari S [12], 2013 | 36.11 ± 4.98b | 34.22 ± 5.83b | 8 | 3 | 5 |
Quantitative synthesis | Heterogeneity | Bias | |||||
---|---|---|---|---|---|---|---|
Outcomes | OR (95 % CI) | z |
p
| I2 |
P
|
P
| |
Operating Time | 0.18 | −0.06 | 1.47 | P = 0.141 | 58 % | 0.03 | 0.74 |
0.43 | |||||||
Post operative nausea and vomiting | 0.43 | 0.26 | 3.35 | P = 0.001 | 4 % | 0.39 | 0.34 |
0.7 | |||||||
Post opertation Urinary retention | 4.27 | 1.23 | 2.28 | P = 0.022 | 0 % | 1 | 0.96 |
14.85 | |||||||
Overall Morbidity | 0.69 | 0.5 | 2.22 | P = 0.027 | 0.00 % | 0.71 | 0.91 |
0.96 |