Effects of transcutaneous electrical nerve stimulation on recovery of gastrointestinal motility after laparotomy: A randomized controlled trial.

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  • Additional Information
    • Source:
      Publisher: Springer International Country of Publication: United States NLM ID: 7704052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, Springer International.
    • Subject Terms:
      Transcutaneous Electric Nerve Stimulation*/methods ; Gastrointestinal Motility*/physiology ; Laparotomy*/adverse effects ; Laparotomy*/methods ; Postoperative Complications* ; Ileus*/etiology ; Ileus*/therapy ; Recovery of Function*; Humans ; Female ; Male ; Middle Aged ; Aged ; Treatment Outcome ; Adult
    • Abstract:
      Introduction: Postoperative Ileus (POI) negatively impacts patient outcomes and increases healthcare costs. Transcutaneous electrical nerve stimulation (TENS) has been found to improve gastrointestinal (GI) motility following abdominal surgery. However, its effectiveness in this context is not well-established. This study was designed to evaluate the role of TENS on the recovery of GI motility after exploratory laparotomy.
      Methods: Patients undergoing exploratory laparotomy were randomized in a 1:1 ratio into control (standard treatment alone) and experimental (standard treatment + TENS) arms. TENS was terminated after 6 days or after the passage of stool or stoma movement. The primary outcome was time for the first passage of stool/functioning stoma. Non-passage of stool or nonfunctioning stoma beyond 6 days was labeled as prolonged POI. Patients were monitored until discharge.
      Results: Median (interquartile range) time to first passage of stool/functioning stoma was 82.6 (49-115) hours in the standard treatment group and 50 (22-70.6) hours in the TENS group [p < 0.001]. Prolonged POI was noted in 11 patients in the standard treatment group (35.5%) and one in the TENS group (3.2%) [p = 0.003]. Postoperative hospital stay was similar in the two groups.
      Conclusion: TENS resulted in early recovery of GI motility by shortening the duration of POI without any improvement in postoperative hospital stay.
      Trial Registration Number: CTRI/2021/10/037054.
      (© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).)
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    • Contributed Indexing:
      Keywords: ERAS; abdominal surgery; ileus; laparotomy; pain
    • Publication Date:
      Date Created: 20240527 Date Completed: 20240703 Latest Revision: 20240828
    • Publication Date:
      20240830
    • Accession Number:
      10.1002/wjs.12233
    • Accession Number:
      38801218