Acupuncture Versus Transcutaneous Electrical Nerve Stimulation on Pain Post Upper Abdominal Surgeries
Cairo University
40 participants
Apr 15, 2025
INTERVENTIONAL
Conditions
Summary
This study was done to: * Determine the therapeutic efficacy of acupuncture as physical therapy approach in minimizing pain post upper abdominal surgeries. * Determine the therapeutic efficacy of transcutaneous electrical nerve stimulation in minimizing pain post upper abdominal surgeries. * Compare the efficacy and safety of Transcutaneous electrical nerve stimulation versus acupuncture in minimizing pain post upper abdominal surgeries.
Eligibility
Inclusion Criteria7
- Patients who will have pain after upper abdominal surgery.
- Adult patients will be between 20 and 45 years of age.
- Both sexes will be included.
- Patients have no contraindications for acupuncture or transcutaneous electrical nerve stimulation.
- Patients with good compliance and fit for treatment.
- This study will be applied on upper abdominal surgeries \[laparoscopic cholecystectomy, Gastrectomy\].
- Physical therapy will be used for up to 48 hours after surgery or until the time of discharge.
Exclusion Criteria8
- Patients with other causes of pain other than that after upper abdominal surgery.
- Patients who will have any contraindication for both therapies used.
- Patients with cardiovascular disease, liver, or renal disease.
- Patients with malignant tumors.
- Patients with metal or electronic implants.
- Patients with autoimmune disease.
- Pregnancy, postpartum period, breastfeeding.
- Patients with recent injury in the treatment area
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Interventions
Cholecystectomy involves a procedure where patients' spines are kept in position and skin around the acupoints is disinfected with 75% alcohol. Acupuncture treatment is given when patients return to units within 2 hours after surgery. The needles are inserted using disposable sterile needles and manipulated to induce a sense of "De qi" (soreness, numbness, distension, or heaviness). Gastrectomy involves daily acupuncture sessions for 5 consecutive days, starting on postoperative day 1. The needles are inserted perpendicular to the acupoints in the extremities to a depth of approximately 20 mm from the skin surface.
Patients will receive a transcutaneous electrical nerve stimulation unit (ENNRAF) for up to 48 hours post-surgery, with instructions to self-titrate intensity for pain relief. Postoperative stimulation will be 20-40 milliampere and pulse width 5
analgesics and nonsteroidal anti-inflammatory drugs
Locations(1)
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NCT07036393