Transcutaneous Electric Nerve Stimulation Reduces Acute Postoperative Pain and Analgesic Use After Open Inguinal Hernia Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial

Paršeliūnas, Audrius; Paškauskas, Saulius; Kubiliūtė, Eglė; Vaitekunas, Jovydas; Venskutonis, Donatas

doi:10.1016/j.jpain.2020.11.006

Cited by 22 publications

(19 citation statements)

References 41 publications

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“…Earlier results from this trial showed that TENS reduces acute postoperative pain and analgesic use after open inguinal hernia repair with mesh [38]. However, it is still not clear whether TENS in the early postoperative period can have positive effects for the late postoperative period.…”

Section: Discussionmentioning

confidence: 91%

“…Therefore, we suggest that pain control at home or in the outpatient setting could be worse if patients are discharged from hospital on the day of their surgery. We found that participants in the TENS group used fewer analgesics to control acute postoperative pain [38]. Considering simplicity and safety use of TENS, it could be administered by the patients themselves to control acute postoperative pain.…”

Section: Discussionmentioning

confidence: 92%

“…Postoperative pain was well controlled during the first two postoperative days, regardless of the group to which the subject was assigned (Figure 11). However, the absolute and relative pain relief was higher in the TENS group compared to the placebo-TENS group [38]. If needed, patients in both groups controlled pain with additional doses of analgesics.…”

Section: Discussionmentioning

confidence: 94%

“…Details regarding the study design, sample size calculation, randomization and blinding, surgery, postoperative treatment, TENS and placebo-TENS application were described in our previous open access report [38]. Briefly, 80 male patients with unilateral inguinal hernia treated by elective surgery (Lichtenstein technique) were recruited to a prospective, randomized, double blind, placebo-controlled clinical trial.…”

Section: Methodsmentioning

confidence: 99%

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Transcutaneous Electric Nerve Stimulation Reduces Pathological Sensation of Mesh One Week after Open Inguinal Hernia Surgery: Follow-Up Results from a Randomized, Double Blind and Placebo-Controlled Trial

et al. 2022

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Background and Objectives: Quality of life (QoL) and chronic pain are important outcomes following hernia surgery. The long-term effects of Transcutaneous Electric Nerve Stimulation (TENS) on postoperative recovery are not well known. In this trial we investigated the role of TENS on QoL and on the incidence of chronic pain following inguinal hernia repair with mesh. Materials and Methods: A total of 80 male patients with elective primary unilateral hernia Lichtenstein repair were randomly allocated to receive TENS or a placebo-TENS procedure. The TENS group received conventional TENS twice a day on the first and second postoperative days. The intensity was set at 0–0.5 mA in the placebo-TENS group. General and hernia-specific QoL, as well as the incidence of chronic pain were assessed using SF-36v2 and the Carolinas comfort scale. Results: Less sensation of mesh was reported by the TENS group patients one week after surgery. At this time point, the mean sensation score was 6.07 ± 8.88 in the TENS group and 14.08 ± 16.67 in the placebo-TENS group (p = 0.029). Although at two days and one week postoperatively, TENS group patients tended to have less pain, less movement restrictions and better overall hernia-specific QoL, the differences were not statistically significant. At 6 months postoperatively, no incidence of chronic pain was found in either the placebo-TENS or TENS group. Conclusions: Conventional TENS applied in the early postoperative period following inguinal hernia repair with mesh was found to reduce mesh-related foreign body sensation one week after surgery. Promising results were also found for other QoL domains.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

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Transcutaneous Electric Nerve Stimulation Reduces Pathological Sensation of Mesh One Week after Open Inguinal Hernia Surgery: Follow-Up Results from a Randomized, Double Blind and Placebo-Controlled Trial

et al. 2022

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“…Parseliunas et al (27) used TENS in the acute postoperative period of inguinal hernia with an improvement of the painful condition and decreased opioids in the group that used it. Lauretti et al (28) demonstrated TENDS's efficacy in reducing pain in patients with fibromyalgia with improved results when two devices are applied simultaneously at different sites such as the cervical and lumbar spine.…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous electrical nerve stimulation reduces acute pain, and the use of analgesics after ankle fracture surgery

Macedo

Ferreira²,

Silva³

et al. 2022

J Foot Ankle

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Objective: To evaluate the applicability of transcutaneous electrical nerve stimulation (TENS) as a complementary treatment method to non-opioid analgesics for acute postoperative pain in patients undergoing surgical treatment due to ankle fractures. Methods: A prospective, randomized, analytical, cross-sectional study performed after ankle fracture surgery. Two groups were randomized as follows: group 1 (Intervention) received TENS and non-opioid analgesic (dipyrone), and group 2 (Control) received non-opioid analgesic (dipyrone). Results: This study demonstrated that TENS in patients undergoing surgical treatment of ankle fractures reduces the use of rescue opioids significantly to control postoperative pain. Conclusion: TENS devices may be another safe option to control postoperative pain and reduce the use of opioids, avoiding adverse effects from this class of analgesic. Level of Evidence II; Therapeutic Studies; Prospective Comparative Study.

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High‐frequency, high‐intensity TENS compared to standard treatment with opioids for postoperative pain relief after laparoscopic cholecystectomy: A multicentre randomized controlled trial

Ögren,

Varkey,

Wolf

et al. 2024

European Journal of Pain

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BackgroundAdverse effects of opioids could prolong the duration of stay in the post‐anaesthesia care unit (PACU). This study aimed to assess time in the PACU and the pain‐relieving effect of high‐frequency, high‐intensity transcutaneous electrical nerve stimulation (HFHI TENS) versus standard treatment with intravenous (IV) opioids.MethodsPatients undergoing laparoscopic cholecystectomy at two Swedish hospitals were invited to participate. Patients reporting postoperative pain intensity ≥3 according to the Numeric Rating Scale (NRS) in the PACU were randomized to receive standard treatment with IV opioids or HFHI TENS, administered with an intensity of 40–60 mA for 1 min, repeated once if insufficient pain relief. If NRS remained ≥3 after two TENS stimulation the patients received IV opioids.ResultsIn total, 163 patients were randomized to receive HFHI TENS (n = 85) or IV opioids (n = 78). There was no difference between the HFHI TENS group versus the opioid group regarding time in the PACU (138 min [SD 69] vs. 142 min [SD 95], mean difference −4.42 [95% CI–30:22], p = 0.74), time to pain relief NRS < 3 (median 10 min) and pain intensity at PACU discharge (NRS 1.7 [SD 1.45] vs. 1.6 [SD 1.20], p = 0.58). In the HFHI TENS group, 39 patients (46%) needed additional treatment with IV opioids. Mean opioid consumption was significantly lower in the HFHI TENS group than in the opioid group (4.5 vs. 11.0 morphine equivalents; p < 0.001).ConclusionsHFHI TENS may be an opioid‐sparing alternative for postoperative pain relief.Significance StatementIn this multicentre, RCT time in the PACU and the pain‐relieving effect of HFHI TENS was compared to standard treatment with IV opioids. There were no differences between the groups regarding time in the PACU, time to pain relief and side effects but opioid consumption in the HFHI TENS group was significantly lower. Both groups reported high satisfaction with pain treatment and care. In summary, HFHI TENS should be considered a safe, fast‐onsetting, opioid‐sparing option for postoperative pain relief.

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Transcutaneous Electric Nerve Stimulation Reduces Acute Postoperative Pain and Analgesic Use After Open Inguinal Hernia Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial

Cited by 22 publications

References 41 publications

Transcutaneous Electric Nerve Stimulation Reduces Pathological Sensation of Mesh One Week after Open Inguinal Hernia Surgery: Follow-Up Results from a Randomized, Double Blind and Placebo-Controlled Trial

Transcutaneous Electric Nerve Stimulation Reduces Pathological Sensation of Mesh One Week after Open Inguinal Hernia Surgery: Follow-Up Results from a Randomized, Double Blind and Placebo-Controlled Trial

Transcutaneous electrical nerve stimulation reduces acute pain, and the use of analgesics after ankle fracture surgery

High‐frequency, high‐intensity TENS compared to standard treatment with opioids for postoperative pain relief after laparoscopic cholecystectomy: A multicentre randomized controlled trial

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