{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T16:32:30Z","timestamp":1780677150443,"version":"3.54.1"},"reference-count":48,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100016106","name":"Science and Technology Bureau of Zhenjiang","doi-asserted-by":"publisher","award":["SH2024017"],"award-info":[{"award-number":["SH2024017"]}],"id":[{"id":"10.13039\/501100016106","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002703","name":"Jiangsu University","doi-asserted-by":"publisher","award":["JDY2022006"],"award-info":[{"award-number":["JDY2022006"]}],"id":[{"id":"10.13039\/501100002703","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002703","name":"Jiangsu University","doi-asserted-by":"publisher","award":["xjs2024124"],"award-info":[{"award-number":["xjs2024124"]}],"id":[{"id":"10.13039\/501100002703","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmig.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Minimally Invasive Gynecology"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.jmig.2025.03.012","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T23:03:07Z","timestamp":1743030187000},"page":"764-774","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Quadratus Lumborum Block for Total Laparoscopic Hysterectomy: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2347-2727","authenticated-orcid":false,"given":"Jin","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5686-8880","authenticated-orcid":false,"given":"Yuanfang","family":"Ou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4906-7669","authenticated-orcid":false,"given":"Xiaofeng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2128-5044","authenticated-orcid":false,"given":"Huiyu","family":"She","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0981-2158","authenticated-orcid":false,"given":"Yifan","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmig.2025.03.012_bib0001","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jamcollsurg.2017.07.1063","article-title":"Randomized clinical trial of epidural compared with conventional analgesia after minimally invasive colorectal surgery","volume":"225","author":"Hanna","year":"2017","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jmig.2025.03.012_bib0002","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1016\/S1701-2163(16)34350-X","article-title":"Surgical approach to hysterectomy: introducing the concept of technicity","volume":"31","author":"Laberge","year":"2009","journal-title":"J Obstet Gynaecol Can"},{"key":"10.1016\/j.jmig.2025.03.012_bib0003","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1111\/j.1471-0528.2008.01966.x","article-title":"A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures","volume":"116","author":"Donnez","year":"2009","journal-title":"BJOG"},{"key":"10.1016\/j.jmig.2025.03.012_bib0004","doi-asserted-by":"crossref","first-page":"202.e1","DOI":"10.1016\/j.ajog.2020.08.014","article-title":"Trends in operative time and outcomes in minimally invasive hysterectomy from 2008 to 2018","volume":"224","author":"Luchristt","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0005","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.jmig.2019.02.020","article-title":"Surgical trends and time frame comparison of surgical types of hysterectomy: a nationwide, population-based 15-year study","volume":"27","author":"Huang","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0006","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0233082","article-title":"Regional variation of hysterectomy for benign uterine diseases in Switzerland","volume":"15","author":"Stoller","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.jmig.2025.03.012_bib0007","doi-asserted-by":"crossref","first-page":"562","DOI":"10.7150\/ijms.15875","article-title":"Pain characteristics after total laparoscopic hysterectomy","volume":"13","author":"Choi","year":"2016","journal-title":"Int J Med Sci"},{"key":"10.1016\/j.jmig.2025.03.012_bib0008","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1097\/ALN.0b013e31828866b3","article-title":"Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures","volume":"118","author":"Gerbershagen","year":"2013","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jmig.2025.03.012_bib0009","article-title":"Preoperative anxiety and postoperative pain in patients with laparoscopic hysterectomy","volume":"12","author":"Zhang","year":"2021","journal-title":"Front Psychol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0010","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1136\/rapm-2018-100024","article-title":"Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations","volume":"44","author":"Lirk","year":"2019","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.jmig.2025.03.012_bib0011","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1111\/anae.15160","article-title":"Quadratus lumborum block vs. transversus abdominis plane block for caesarean delivery: a systematic review and network meta-analysis","volume":"76","author":"El-Boghdadly","year":"2021","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jmig.2025.03.012_bib0012","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.diii.2014.06.015","article-title":"Radioanatomy of the retroperitoneal space","volume":"96","author":"Coffin","year":"2015","journal-title":"Diagn Interv Imaging"},{"key":"10.1016\/j.jmig.2025.03.012_bib0013","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1111\/anae.13371","article-title":"Quadratus lumborum block with paramedian sagittal oblique (subcostal) approach","volume":"71","author":"Elsharkawy","year":"2016","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jmig.2025.03.012_bib0014","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1136\/rapm-2020-101931","article-title":"Transmuscular quadratus lumborum block for total laparoscopic hysterectomy: a double-blind, randomized, placebo-controlled trial","volume":"46","author":"Hansen","year":"2021","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.jmig.2025.03.012_bib0015","doi-asserted-by":"crossref","first-page":"362","DOI":"10.4103\/ija.IJA_1258_20","article-title":"Efficacy of transmuscular quadratus lumborum block in the multimodal regimen for postoperative analgesia after total laparoscopic hysterectomy: a prospective randomised double-blinded study","volume":"65","author":"Jadon","year":"2021","journal-title":"Indian J Anaesth"},{"key":"10.1016\/j.jmig.2025.03.012_bib0016","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s40122-023-00505-1","article-title":"Effects of erector spinae plane block and transmuscular quadratus lumborum block on postoperative opioid consumption in total laparoscopic hysterectomy: a randomized controlled clinical trial","volume":"12","author":"Jiang","year":"2023","journal-title":"Pain Ther"},{"key":"10.1016\/j.jmig.2025.03.012_bib0017","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s40122-022-00436-3","article-title":"The effect of the magnesium sulfate in ultrasound-guided quadratus lumborum block on postoperative analgesia: a randomized controlled trial","volume":"12","author":"Peng","year":"2023","journal-title":"Pain Ther"},{"key":"10.1016\/j.jmig.2025.03.012_bib0018","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-073917","article-title":"Ultrasound-guided anterior quadratus lumborum block at the L2 level for postsurgical analgesia in patients undergoing laparoscopic gynaecological surgery: a single-centre, randomised, double-blinded trial at a university-affiliated hospital in China","volume":"13","author":"Huang","year":"2023","journal-title":"BMJ Open"},{"key":"10.1016\/j.jmig.2025.03.012_bib0019","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1097\/AJP.0000000000001156","article-title":"Anterior quadratus lumborum block for total laparoscopic hysterectomy: a randomized, double-blind, placebo-controlled trial","volume":"39","author":"She","year":"2023","journal-title":"Clin J Pain"},{"key":"10.1016\/j.jmig.2025.03.012_bib0020","first-page":"11323","article-title":"Quadratus lumborum and erector spinae plane blocks are effective for analgesia in laparoscopic hysterectomy: a randomized controlled trial","volume":"27","author":"Baran","year":"2023","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"10.1016\/j.jmig.2025.03.012_bib0021","first-page":"898","article-title":"Ultrasound-guided quadratus lumborum block combined with general anesthesia in laparoscopic hysterectomy and its effect on inflammation and oxidative stress response of patients","volume":"18","author":"Ma","year":"2024","journal-title":"Chin J Endocr Surg"},{"key":"10.1016\/j.jmig.2025.03.012_bib0022","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.jmig.2025.03.012_bib0023","doi-asserted-by":"crossref","first-page":"j4008","DOI":"10.1136\/bmj.j4008","article-title":"AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both","volume":"358","author":"Shea","year":"2017","journal-title":"BMJ"},{"key":"10.1016\/j.jmig.2025.03.012_bib0024","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1177\/0962280216669183","article-title":"Optimally estimating the sample mean from the sample size, median, mid-range, and\/or mid-quartile range","volume":"27","author":"Luo","year":"2018","journal-title":"Stat Methods Med Res"},{"key":"10.1016\/j.jmig.2025.03.012_bib0025","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0026","series-title":"Perioperative Medicine for the Junior Clinician","author":"Symons","year":"2015"},{"issue":"6","key":"10.1016\/j.jmig.2025.03.012_bib0027","first-page":"773","article-title":"Postoperative analgesia for thoracotomy patients: a current review","volume":"54","author":"Norman","year":"1975","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jmig.2025.03.012_bib0028","doi-asserted-by":"crossref","first-page":"286","DOI":"10.2165\/00003495-198836030-00003","article-title":"Sufentanil. A review of its pharmacological properties and therapeutic use","volume":"36","author":"Monk","year":"1988","journal-title":"Drugs"},{"key":"10.1016\/j.jmig.2025.03.012_bib0029","doi-asserted-by":"crossref","first-page":"d5928","DOI":"10.1136\/bmj.d5928","article-title":"The Cochrane Collaboration's tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ"},{"key":"10.1016\/j.jmig.2025.03.012_bib0030","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.jmig.2025.03.012_bib0031","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"key":"10.1016\/j.jmig.2025.03.012_bib0032","unstructured":"Higgins J, Green S, The Cochrane Collaboration. Cochrane Handbook for Systematic Review of Interventions Version 5.0.1. Published 2008. Accessed February 28, 2025. https:\/\/handbook-5-1.cochrane.org\/."},{"key":"10.1016\/j.jmig.2025.03.012_bib0033","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1016\/j.bja.2021.01.021","article-title":"Minimal clinically important differences in randomised clinical trials on pain management after total hip and knee arthroplasty: a systematic review","volume":"126","author":"Laigaard","year":"2021","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jmig.2025.03.012_bib0034","article-title":"Pre-emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery","volume":"6","author":"Doleman","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jmig.2025.03.012_bib0035","article-title":"Transversus abdominis plane block in minimally invasive colon surgery: a multicenter three-arm randomized controlled superiority and non-inferiority clinical trial","author":"Salmonsen","year":"2025","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.jmig.2025.03.012_bib0036","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1093\/bja\/aew466","article-title":"Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state","volume":"118","author":"Myles","year":"2017","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jmig.2025.03.012_bib0037","doi-asserted-by":"crossref","DOI":"10.1111\/aas.14526","article-title":"Anterior quadratus lumborum blocks for postoperative pain treatment following intra-abdominal surgery: a systematic review with meta-analyses and trial sequential analyses","volume":"69","author":"Tanggaard","year":"2025","journal-title":"Acta Anaesthesiol Scand"},{"key":"10.1016\/j.jmig.2025.03.012_bib0038","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.jmig.2024.05.019","article-title":"Effect of preoperative bilateral ultrasound-guided quadratus lumborum nerve block on quality of recovery after minimally invasive hysterectomy in an enhanced recovery after surgery (ERAS) setting","volume":"31","author":"Hui","year":"2024","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0039","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1097\/EJA.0000000000000680","article-title":"Injectate spread following anterior sub-costal and posterior approaches to the quadratus lumborum block: a comparative cadaveric study","volume":"34","author":"Elsharkawy","year":"2017","journal-title":"Eur J Anaesthesiol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0040","series-title":"Atlas of Human Anatomy","first-page":"397","author":"Netter","year":"2018"},{"key":"10.1016\/j.jmig.2025.03.012_bib0041","doi-asserted-by":"crossref","first-page":"3379","DOI":"10.2147\/JPR.S426820","article-title":"The effect of caudal ropivacaine and morphine on postoperative analgesia in total laparoscopic hysterectomy: a prospective, double-blind, randomized controlled trial","volume":"16","author":"Qin","year":"2023","journal-title":"J Pain Res"},{"key":"10.1016\/j.jmig.2025.03.012_bib0042","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.tjog.2024.01.013","article-title":"Paracervical block before laparoscopic total hysterectomy: a randomized controlled trial","volume":"63","author":"G\u00fcng\u00f6rd\u00fck","year":"2024","journal-title":"Taiwan J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2025.03.012_bib0043","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1136\/rapm-2018-100147","article-title":"Comparing two posterior quadratus lumborum block approaches with low thoracic erector spinae plane block: an anatomic study","volume":"44","author":"Elsharkawy","year":"2019","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.jmig.2025.03.012_bib0044","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1007\/s12630-017-1021-y","article-title":"Ultrasound-guided lateral-medial transmuscular quadratus lumborum block for analgesia following anterior iliac crest bone graft harvesting: a clinical and anatomical study","volume":"65","author":"Sondekoppam","year":"2018","journal-title":"Can J Anaesth"},{"key":"10.1016\/j.jmig.2025.03.012_bib0045","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1093\/bja\/aew224","article-title":"A cadaver study comparing spread of dye and nerve involvement after three different quadratus lumborum blocks","volume":"117","author":"Carline","year":"2016","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jmig.2025.03.012_bib0046","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1213\/ANE.0000000000001922","article-title":"The pathway of injectate spread with the transmuscular quadratus lumborum block: a cadaver study","volume":"125","author":"Dam","year":"2017","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jmig.2025.03.012_bib0047","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1213\/ANE.0000000000002245","article-title":"Quadratus lumborum spares paravertebral space in fresh cadaver injection","volume":"125","author":"Kumar","year":"2017","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jmig.2025.03.012_bib0048","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1111\/anae.13647","article-title":"A radiologic and anatomic assessment of injectate spread following transmuscular quadratus lumborum block in cadavers","volume":"72","author":"Adhikary","year":"2017","journal-title":"Anaesthesia"}],"container-title":["Journal of Minimally Invasive Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465025000974?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465025000974?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T20:39:02Z","timestamp":1778618342000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553465025000974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S1553465025000974"],"URL":"https:\/\/doi.org\/10.1016\/j.jmig.2025.03.012","relation":{},"ISSN":["1553-4650"],"issn-type":[{"value":"1553-4650","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Quadratus Lumborum Block for Total Laparoscopic Hysterectomy: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Minimally Invasive Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmig.2025.03.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 AAGL. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}