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Updated: Sep 19, 2025

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Postoperative pain following intraoperative acupuncture: a randomized‑controlled study.

Yakir Segev1, Sereen Abofol2, Noah Samuels3

  • 1Division Of Gynecology Oncology at the obsterics and Gynecology department, carmel medical center, Haifa, Israel segevyakir@yahoo.com.

BMJ Supportive & Palliative Care
|June 19, 2025
PubMed
Summary

This study found that intraoperative acupuncture may reduce postoperative pain after gynecological oncology surgery. Patients receiving acupuncture reported less pain on the first day after laparoscopic procedures.

Keywords:
Integrative OncologyPainSupportive care

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Area of Science:

  • Integrative Oncology
  • Surgical Care
  • Pain Management

Background:

  • Enhanced recovery after surgery (ERAS) protocols aim to optimize patient recovery.
  • Integrative oncology interventions are increasingly explored for managing surgical side effects.
  • Gynaecological oncology surgery presents unique challenges for postoperative pain management.

Purpose of the Study:

  • To evaluate the impact of an integrative oncology intervention on postoperative care, specifically pain, in patients undergoing gynaecological oncology surgery.
  • To compare the effects of preoperative touch/relaxation and intraoperative acupuncture versus standard care.

Main Methods:

  • A randomized controlled trial involving 102 patients undergoing gynaecological oncology surgery.
  • Three groups: Group A (preoperative touch/relaxation + intraoperative acupuncture), Group B (preoperative touch/relaxation only), Group C (standard care).
  • Postoperative pain assessed using Visual Analogue Scale (VAS), along with analgesic use, bowel/urinary function, and discharge time.

Main Results:

  • Patients in Group A (laparoscopic surgery) reported significantly lower pain scores on postoperative day 1 compared to Group C.
  • Patients in Group B (open laparotomy) had earlier discharge than Group C.
  • No significant differences were observed in overall VAS pain scores, analgesic use, or bowel/urinary function between groups.

Conclusions:

  • Intraoperative acupuncture, as part of an ERAS protocol, may reduce immediate postoperative pain in patients undergoing laparoscopic gynaecological oncology surgery.
  • Further research with objective nociception measures is recommended to confirm these findings.
  • The study highlights the potential of acupuncture in enhancing recovery after specific oncological surgeries.