Does mechanical massage of the abdominal wall after colectomy reduce postoperative pain and shorten the duration of ileus? Results of a randomized study

Isabelle Le Blanc-Louvry, Bruno Costaglioli, Catherine Boulon, Anne Marie Leroi, Philippe Ducrotte, H. C. Sax, B. L. Bass, M. G. Sarr

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

The aim of this study was to determine the effectiveness of mechanical abdominal massage on postoperative pain and ileus after colectomy. We hypothesized that parietal abdominal stimulation could counteract induced pain and postoperative ileus, through common spinal-sensitive pathways, with nociceptive visceral messages. After preoperative randomization, 25 patients (age 52 ± 5 years) underwent active mechanical massage by intermittent negative pressure on the abdominal wall resulting in aspiration (Cellu M50 device, LPG, Valence, France), and 25 patients (age 60 ± 6 years) did not receive active mechanical massage (placebo group). Massage sessions began the first day after colectomy and were performed daily until the seventh postoperative day. In the active-massage group, amplitude and frequency were used, which have been shown to be effective in reducing muscular pain, whereas in the placebo group, ineffective parameters were used. Visual analogue scale (VAS) pain scores, doses of analgesics (propacetamol), and delay between surgery and the time to first passage of flatus were assessed. Types and dosages of the anesthetic drugs and the duration of the surgical procedure did not differ between groups. From the second and third postoperative days, respectively, VAS pain scores (P < 0.001) and doses of analgesics (P < 0.05) were significantly lower in patients receiving active massage compared to the placebo group. Time to first passage of flatus was also significantly shorter in the active-massage group (1.8 ± 0.3 days vs. 3.6 ± 0.4 days, P < 0.01). No adverse effects were observed. These results suggest that mechanical massage of the abdominal wall may decrease postoperative pain and ileus after colectomy.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume6
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

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Massage
Colectomy
Ileus
Abdominal Wall
Postoperative Pain
Flatulence
Placebos
Pain Measurement
Analgesics
Penicillin G Benzathine
Random Allocation
France
Anesthetics
Pressure
Pain
Equipment and Supplies

Keywords

  • Colectomy
  • Mechanical massage
  • Postoperative ileus

ASJC Scopus subject areas

  • Surgery

Cite this

Does mechanical massage of the abdominal wall after colectomy reduce postoperative pain and shorten the duration of ileus? Results of a randomized study. / Le Blanc-Louvry, Isabelle; Costaglioli, Bruno; Boulon, Catherine; Leroi, Anne Marie; Ducrotte, Philippe; Sax, H. C.; Bass, B. L.; Sarr, M. G.

In: Journal of Gastrointestinal Surgery, Vol. 6, No. 1, 2002, p. 43-49.

Research output: Contribution to journalArticle

Le Blanc-Louvry, Isabelle ; Costaglioli, Bruno ; Boulon, Catherine ; Leroi, Anne Marie ; Ducrotte, Philippe ; Sax, H. C. ; Bass, B. L. ; Sarr, M. G. / Does mechanical massage of the abdominal wall after colectomy reduce postoperative pain and shorten the duration of ileus? Results of a randomized study. In: Journal of Gastrointestinal Surgery. 2002 ; Vol. 6, No. 1. pp. 43-49.
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