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Transcutaneous electrical nerve stimulation for postlaparotomy pain.

F L Schomburg, S A Carter-Baker

    Physical Therapy
    |February 1, 1983
    PubMed
    Summary
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    Postoperative transcutaneous electrical nerve stimulation (TENS) significantly reduced pain medication needs for laparotomy patients. This interdisciplinary program improved pain management without altering hospital stay duration.

    Area of Science:

    • Pain Management
    • Physical Therapy
    • Surgical Outcomes

    Background:

    • Postoperative pain is a significant concern following major surgery.
    • Effective pain management strategies are crucial for patient recovery and satisfaction.
    • Transcutaneous electrical nerve stimulation (TENS) is a non-invasive modality for pain relief.

    Purpose of the Study:

    • To evaluate the efficacy of an interdisciplinary postoperative transcutaneous electrical nerve stimulation (TENS) program.
    • To assess the impact of TENS on pain medication requirements and hospital stay after laparotomy.
    • To determine patient-reported pain intensity with TENS intervention.

    Main Methods:

    • A prospective study comparing 75 patients receiving postoperative TENS with 75 historical controls who did not receive TENS.

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  • TENS application involved preoperative evaluation, sterile electrode placement during surgery, and activation in the recovery room.
  • Data collection included pain medication intake, hospital length of stay, and pain ratings on a 10-point scale.

    • Main Results:

    • Patients receiving TENS required significantly less pain medication compared to the control group.
    • The average duration of TENS application was five days, with midrange machine settings.
    • No significant difference was observed in the length of hospital stay between the TENS and control groups.
    • Patients reported pain as more intense than uncomfortable when using TENS.

    Conclusions:

    • A structured, interdisciplinary postoperative TENS program can effectively reduce pain medication consumption in laparotomy patients.
    • TENS offers a viable adjunct for postoperative pain management, enhancing patient comfort.
    • Further research may explore optimal TENS parameters and long-term outcomes.