Short-Term Effects of Connective Tissue Massage After Hysterectomy: A Randomized Controlled Study.
Study Goal
The researchers aimed to determine the effects of connective tissue massage (CTM) on postoperative pain, gastrointestinal recovery, and functionality in patients after total laparoscopic hysterectomy (TLH) or total abdominal hysterectomy (TAH).
Results Summary
CTM significantly reduced postoperative pain severity, analgesic use, and accelerated the first passage of flatus and defecation compared to control groups, with the TLH-CTM group showing the most improvement in functionality.
Population
60 patients who underwent TLH or TAH.
Effective Dosage
CTM was applied twice postoperatively at the third hour and after 24 hours.
Duration
Short-term (within 24 hours post-surgery).
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
connective tissue massage (CTM) | decrease | first passage of flatus and the first defecation after surgery | patients after total laparoscopic hysterectomy (TLH) or total abdominal hysterectomy (TAH) | - | were shorter | #1 |
connective tissue massage (CTM) | decrease | first passage of flatus and the first defecation | TLH-CTM group | - | were the lowest | #2 |
connective tissue massage (CTM) | decrease | pain intensity | TLH-CTM group | - | were the lowest | #3 |
connective tissue massage (CTM) | decrease | analgesics use | TLH-CTM group | - | were the lowest | #4 |
connective tissue massage (CTM) | increase | improvement in functionality level | TLH-CTM group | - | was higher | #5 |
connective tissue massage (CTM) | decrease | postoperative pain severity | patients after TAH or TLH | - | reduced | #6 |
connective tissue massage (CTM) | decrease | use of analgesics | patients after TAH or TLH | - | reduced | #7 |
connective tissue massage (CTM) | decrease | first passage of flatus | patients after TAH or TLH | - | reduced | #8 |
connective tissue massage (CTM) | decrease | first defecation | patients after TAH or TLH | - | reduced | #9 |
OBJECTIVE: The aim of this study was to investigate the effects of connective tissue massage (CTM) on postoperative pain severity, first passage of flatus and the first defecation, and functionality in patients after total laparoscopic hysterectomy (TLH) or total abdominal hysterectomy (TAH). METHODS: A total of 60 patients who underwent TLH or TAH were included in the study. Patients who underwent TLH were randomly grouped as TLH-CTM (n = 15) and TLH control (n = 16), and those who underwent TAH were randomly grouped as TAH-CTM (n = 14) and TAH control (n = 15). CTM was applied twice postoperatively at the third hour and after 24 hours. The pain severity scores and functional activity limitation levels of the patients were evaluated with the visual analog scale. The number of analgesics use and first passage of flatus and the first defecation were recorded. RESULTS: The first passage of flatus and the first defecation after surgery were shorter in the TLH-CTM and TAH-CTM groups compared with the TLH and TAH control groups (P < 0.001). The first passage of flatus and the first defecation, pain intensity, and analgesics use of the TLH-CTM group were the lowest among all groups (P < 0.05). The improvement in functionality level in the TLH-CTM group was higher than those in the other groups (P < 0.05). CONCLUSION: This study showed that CTM reduced postoperative pain severity, use of analgesics, first passage of flatus, and first defecation after TAH or TLH.