A368 Postoperative Osteopathic Manipulative Treatment in Bariatric Surgery: A Prospective Randomized, Group Controlled Study

Kim, Dmitriy; Welch, Brian T.; Gandhi, Mai; Shah, Darshak; Louis, Martine A.

doi:10.1016/j.soard.2019.08.309

Cited by 1 publication

(6 citation statements)

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“…All of the studies evaluated in the field of general surgery demonstrated positive outcomes. Patients who received OMT after general surgery had decreased length of hospital stay, reduction in pain and somatic dysfunction relief, improved bowel movements, and decreased usage of pain medication post-operatively [5,11,14,16,22,28,29,31,34].…”

Section: Summary Of Evidencementioning

confidence: 98%

“…In the field of general surgery, nine studies were found that evaluated the impact of OMT in post-operative patients. Three studies were case reports [16,31,34], two were case series [5,14], two were RCTs [22,29], one was a cohort study [11], and one was a qualitative study [28]. While a range of OMT techniques were used across all of the studies, some of the most common were MFR, ME, and cranial manipulation [5,11,14,16,22,29,31,34].…”

Section: General Surgerymentioning

confidence: 99%

“…Three studies were case reports [16,31,34], two were case series [5,14], two were RCTs [22,29], one was a cohort study [11], and one was a qualitative study [28]. While a range of OMT techniques were used across all of the studies, some of the most common were MFR, ME, and cranial manipulation [5,11,14,16,22,29,31,34]. Three of the studies involved post-op ileus [11,14,16], three involved GI resections [11,29,31], and four involved laparoscopic procedures [5,16,22,29].…”

Section: General Surgerymentioning

confidence: 99%

“…While a range of OMT techniques were used across all of the studies, some of the most common were MFR, ME, and cranial manipulation [5,11,14,16,22,29,31,34]. Three of the studies involved post-op ileus [11,14,16], three involved GI resections [11,29,31], and four involved laparoscopic procedures [5,16,22,29]. Many of the studies evaluating the use of OMT after general surgery demonstrated positive outcomes: two demonstrated decreased length of stay in the hospital, four showed significant pain relief, one had a decrease in opioid use, and three exhibited improvements in bowel movement [5,11,14,16,22,29,31,34].…”

Section: General Surgerymentioning

confidence: 99%

“…A variety of different body systems and surgical techniques have been researched including musculoskeletal, cardiac, pulmonary, oncologic, and more [1,5,. These studies have demonstrated decreased symptoms at viscerosomatic levels of treatment [19,25], improved lymphatic circulation [37], improved cardiac function and perfusion [26], decreased length of hospital stay [11,14,29,35], decreased pain [20,21,24,28,29,31,32,34,36,38], decreased pain medication use [1,22,28,39] and decreased morbidity [29].…”

Section: Introductionmentioning

confidence: 99%

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Osteopathic Manipulative Treatment During Post-operative Recovery: A Scoping Review

Randall,

Paul,

Lumley

et al. 2024

Cureus

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Surgery is a common and often necessary treatment option for a wide range of medical conditions, with an estimated 40 to 50 million surgeries performed in the US alone each year. While the various types of surgeries performed may be effective in treating or managing different conditions, the post-operative period can be challenging for patients. Osteopathic manipulative treatment (OMT) is a hands-on approach to medical care that seeks to restore balance and harmony to the body from the lens of an interconnected mind, body, and spirit. Given the potential for adverse events in patients following surgical treatments, OMT may be a viable adjunct post-operatively to enhance patient care and recovery. The purpose of this scoping review is to evaluate the state of current research examining the effectiveness of OMT in improving outcomes in post-operative patients. Three hundred articles were collected; 53 duplicates were removed. Eleven independent reviewers evaluated all 247 articles. Thirty articles were identified, including nine in general surgery, six in cardiothoracic surgery, five in orthopedic surgery, four in spinal surgery, three in neurosurgery, and three others (otolaryngology, oral/maxillofacial, and gynecologic surgery). Post-operative patients were treated with various OMT techniques with myofascial release and muscle energy being some of the most common treatments utilized in all surgical fields. Many studies demonstrated the benefits of OMT usage including significant pain relief, improved and earlier bowel function, and decreased lengths of hospital stay. This study demonstrates how OMT can be effective in reducing post-operative pain, reducing the incidence of post-operative ileus, and shortening the length of stay. Further research into the utilization of OMT in post-operative patients should be considered a potential adjunct to surgical intervention, especially in vulnerable patient populations.

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