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Implantation and Control of Wireless, Battery-free Systems for Peripheral Nerve Interfacing

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Transcutaneous electrical nerve stimulation effect on postoperative complications.

Celal Bugra Sezen¹, Suleyman Anil Akboga², Ali Celik²

¹1 Thoracic Surgery Department, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.

Asian Cardiovascular & Thoracic Annals

|March 29, 2017

Summary

Transcutaneous electrical nerve stimulation effectively reduces acute post-thoracotomy pain. However, this pain management technique did not impact hospitalization duration or early pulmonary complications in the study.

Keywords:

Combined modality therapy Pain Pain measurement Postoperative complications Thoracotomy Transcutaneous electric nerve stimulation postoperative

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Area of Science:

Pain Management
Neurosurgery
Thoracic Surgery

Background:

Post-thoracotomy pain is a significant clinical challenge.
Existing pain control methods yield conflicting results.
Transcutaneous electrical nerve stimulation (TENS) is a potential adjunctive therapy.

Purpose of the Study:

To evaluate the efficacy of TENS for post-thoracotomy pain control.
To assess the impact of TENS on early complications following thoracotomy.
To compare TENS with placebo stimulation in patients undergoing posterolateral thoracotomy.

Main Methods:

Randomized controlled trial involving 87 patients undergoing standard posterolateral thoracotomy.
Intervention group received TENS; control group received placebo stimulation.
Pain assessed using a visual analogue scale (VAS) on postoperative days 0, 1, and 2.

Main Results:

TENS group demonstrated significantly lower mean pain scores on postoperative days 0, 1, and 2 (p < 0.001).
No statistically significant differences were observed in demographic characteristics or duration of hospitalization between groups.
Early complications and surgical techniques showed no significant differences between the TENS and placebo groups.

Conclusions:

TENS is a safe and effective adjunctive therapy for managing acute post-thoracotomy pain.
TENS does not appear to influence the duration of hospitalization.
TENS did not significantly affect early pulmonary complications after thoracotomy.