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Therapeutic Suggestion in Postoperative Pain Control: A Randomized Controlled Trial
- Source :
- Female Pelvic Medicine & Reconstructive Surgery. 27:409-414
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- Objectives There is conflicting research on the effect of therapeutic suggestion in the perioperative period. This study systematically compared subjective and objective measures of postoperative pain, nausea and vomiting, urinary and bowel function, and global perception of symptomatic improvement between participants receiving perioperative therapeutic suggestion versus routine perioperative care during minimally invasive pelvic reconstructive surgery. Methods This was a single-blinded, randomized controlled trial of participants undergoing vaginal hysterectomy with minimally invasive sacrocolpopexy and concomitant prolapse repairs. The intervention group received perioperative therapeutic suggestion, whereas the control group did not. Primary outcomes included postoperative pain scores and analgesic use. Secondary outcomes included a postoperative nausea and vomiting scale, the Pelvic Floor Distress Inventory Questionnaire-Short Form 20, the Patient Global Impression of Improvement scale, and time to return of bowel and bladder function. Results Sixteen participants were randomized to each group. Final analysis included 15 intervention and 14 control participants. Overall measures of postoperative pain and analgesic use were low across all participants without a significant difference between intervention and control groups (opioid: 52.5; interquartile range [IQR], 25.5-58.9 vs 66 IQR, 7.3-125.8; morphine milligram equivalents; P = 0.64; acetaminophen: 2225 mg; IQR, 500-2600 mg vs 2800 mg; IQR, 650-4775 mg; P = 0.38). There were no statistically significant differences in secondary outcomes of urinary symptoms, bowel function, and subjective improvement of prolapse symptoms. Conclusions No differences in postoperative pain, analgesic use, return of bowel and bladder function, or pelvic organ prolapse symptoms were noted in participants receiving perioperative therapeutic suggestion versus routine perioperative care.
- Subjects :
- Nausea
Urology
Analgesic
030232 urology & nephrology
Pelvic Organ Prolapse
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Interquartile range
law
Surveys and Questionnaires
Preoperative Care
Hysterectomy, Vaginal
medicine
Humans
Single-Blind Method
Pain Measurement
Pain, Postoperative
030219 obstetrics & reproductive medicine
Pelvic floor
business.industry
Obstetrics and Gynecology
Perioperative
Middle Aged
medicine.anatomical_structure
Anesthesia
Postoperative Nausea and Vomiting
Vomiting
Female
Surgery
medicine.symptom
business
Postoperative nausea and vomiting
Subjects
Details
- ISSN :
- 21518378
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Female Pelvic Medicine & Reconstructive Surgery
- Accession number :
- edsair.doi.dedup.....84443ca8796c1b786b72575923d6597a