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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin
DOI: 10.1055/a-2132-6691
Original Article

Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-Analysis

Analgetische Wirksamkeit der Fuß- und Handmassage bei laparoskopischer Cholezystektomie: Eine Metaanalyse
Jia Chen
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
,
Piyun Zhang
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
,
Yuanxiu Wei
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
,
Li Zhou
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
,
Xiao Xiao
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
,
Xiaoqiang Wan
1   Gastroenterology, Chongqing University Central Hospital (Chongqing Emergency Medical Center), Chongqing, China
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Correction: Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-AnalysisPhysikalische Medizin, Rehabilitationsmedizin, Kurortmedizin eFirst
DOI: 10.1055/a-2153-2059

Abstract

Background Foot and hand massage may benefit to alleviate pain for laparoscopic cholecystectomy, and this meta-analysis is intended to study the influence of foot and hand massage on pain intensity after laparoscopic cholecystectomy.

Methods We systematically searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases, and included randomized controlled trials (RCTs) assessing the effect of foot and hand massage on postoperative pain of laparoscopic cholecystectomy.

Results Six RCTs and 663 patients were included in the meta-analysis. Compared with control intervention for laparoscopic cholecystectomy, massage intervention resulted in significantly decreased pain scores at 60 min (SMD=–0.73; 95% CI=–1.27 to –0.19; P=0.008), pain scores at 90 min (SMD=–0.80; 95% CI=–1.23 to –0.37; P=0.0003), pain scores at 120–150 min (SMD=–1.74; 95% CI=–1.96 to –1.52; P<0.00001) and the need of additional analgesia (OR=0.04; 95% CI=0.02 to 0.07; P<0.00001), but demonstrated no influence on pain scores at 10–30 min (SMD=–0.14; 95% CI=–0.39 to 0.12; P=0.29).

Conclusions Foot and hand massage may be able to reduce pain intensity after laparoscopic cholecystectomy.

Zusammenfassung

Hintergrund Fuß- und Handmassage kann zur Linderung von Schmerzen bei laparoskopischer Cholezystektomie beitragen, und diese Meta-Analyse soll den Einfluss der Fuß- und Handmassage auf die Schmerzintensität nach laparoskopischer Cholezystektomie untersuchen.

Methoden Wir haben systematisch PubMed-, EMbase-, Web of Science-, EBSCO- und Cochrane-Bibliotheksdatenbanken durchsucht und randomisierte kontrollierte Studien (RCTs) einbezogen, die die Wirkung von Fuß- und Handmassage auf postoperative Schmerzen der laparoskopischen Cholezystektomie untersuchten.

Ergebnisse Sechs RCTs und 663 Patienten wurden in die Metaanalyse einbezogen. Im Vergleich zur Kontrollintervention bei laparoskopischer Cholezystektomie führte die Massage zu signifikant verringerten Schmerzwerten bei 60 min (SMD=–0.73; 95% CI=–1.27 bis –0.19; P=0.008), Schmerzwerten bei 90 min (SMD=–0.80; 95% CI=–1.23 bis –0.37; P=0.0003), Schmerzwerte bei 120–150 min (SMD=–1.74; 95% CI=–1.96 bis –1.52; P<0.00001) und die Notwendigkeit einer zusätzlichen Analgesie (OR=0.04; 95% CI=0.02 bis 0.07; P<0.00001), zeigten jedoch keinen Einfluss auf die Schmerzwerte bei 10–30 min (SMD=–0.14; 95% CI=–0.39 bis 0.12; P=0.29).

Schlussfolgerungen Die Fuß- und Handmassage kann die Schmerzintensität nach laparoskopischer Cholezystektomie reduzieren.

Key words

effectiveness - pain - systematic review

Schlüsselwörter

Physikalische Medizin - Ergebnisse - Medizinische Rehabilitation


Publication History

Received: 07 January 2023

Accepted: 17 July 2023

Article published online:
08 August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Littlefield A, Lenahan C. Cholelithiasis: Presentation and Management. Journal of midwifery & women's health 2019; 64: 289-297
    CrossrefPubMedGoogle Scholar
  • 2 Cianci P, Restini E. Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World journal of gastroenterology 2021; 27: 4536-4554
    CrossrefPubMedGoogle Scholar
  • 3 Talha A, Abdelbaki T, Farouk A. et al. Cholelithiasis after bariatric surgery, incidence, and prophylaxis: randomized controlled trial. Surgical endoscopy 2020; 34: 5331-5337
    CrossrefPubMedGoogle Scholar
  • 4 Lammert F, Gurusamy K, Ko CW. et al. Gallstones, Nature reviews. Disease primers 2016; 2: 16024
    CrossrefPubMedGoogle Scholar
  • 5 Tazuma S, Unno M, Igarashi Y. et al. Evidence-based clinical practice guidelines for cholelithiasis 2016. Journal of gastroenterology 2017; 52: 276-300
    CrossrefPubMedGoogle Scholar
  • 6 Jensen SAS, Fonnes S, Gram-Hanssen A. et al. Long-term mortality and intestinal obstruction after laparoscopic cholecystectomy: A systematic review and meta-analysis. International journal of surgery (London, England) 2022; 105: 106841
    CrossrefPubMedGoogle Scholar
  • 7 Coccolini F, Solaini L, Binda C. et al. Laparoscopic Cholecystectomy in Acute Cholecystitis: Refining the Best Surgical Timing Through Network Meta-Analysis of Randomized Trials. Surgical laparoscopy, endoscopy & percutaneous techniques 2022; 32: 755-763
    CrossrefPubMedGoogle Scholar
  • 8 Xu T, Dong B, Wu X. et al. The Analgesic Efficacy of Intraperitoneal Ropivacaine Versus Bupivacaine for Laparoscopic Cholecystectomy: a Meta-Analysis. Zentralblatt fur Chirurgie. 2022
    PubMedGoogle Scholar
  • 9 Ucuzal M, Kanan N. Foot massage: effectiveness on postoperative pain in breast surgery patients. Pain management nursing: official journal of the American Society of Pain Management Nurses 2014; 15: 458-465
    CrossrefPubMedGoogle Scholar
  • 10 Barazanchi AWH, MacFater WS, Rahiri JL. et al. Evidence-based management of pain after laparoscopic cholecystectomy: a PROSPECT review update. British journal of anaesthesia 2018; 121: 787-803
    CrossrefPubMedGoogle Scholar
  • 11 Vrsajkov V, Ilić N, Uvelin A. et al. Erector spinae plane block reduces pain after laparoscopic cholecystectomy. Der Anaesthesist 2021; 70: 48-52
    CrossrefPubMedGoogle Scholar
  • 12 Abdullayev A. The Effect of Foot Massage on Pain and Anxiety Levels after Laparoscopic Cholecystectomy: A Randomized-Controlled Trial. Clinical Experimental Health Sciences 2021; 11: 746-753
    CrossrefPubMedGoogle Scholar
  • 13 Lee J, Hur MH. The Effects of Aroma Essential Oil Inhalation on Stress, Pain, and Sleep Quality in Laparoscopic Cholecystectomy Patients: A Randomized Controlled Trial. Asian nursing research 2022; 16: 1-8
    CrossrefPubMedGoogle Scholar
  • 14 Jiang B, Ye S. Pharmacotherapeutic pain management in patients undergoing laparoscopic cholecystectomy: A review. Advances in clinical and experimental medicine: official organ Wroclaw Medical University 2022; 31: 1275-1288
    CrossrefPubMedGoogle Scholar
  • 15 Gin E, Lowen D, Tacey M. et al. Reduced Laparoscopic Intra-abdominal Pressure During Laparoscopic Cholecystectomy and Its Effect on Post-operative Pain: a Double-Blinded Randomised Control Trial. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract 2021; 25: 2806-2813
    CrossrefPubMedGoogle Scholar
  • 16 Norton C, Czuber-Dochan W, Artom M. et al. Systematic review: interventions for abdominal pain management in inflammatory bowel disease. Alimentary pharmacology & therapeutics 2017; 46: 115-125
    CrossrefPubMedGoogle Scholar
  • 17 Akturk R, Serinsöz S. Determining a Method to Minimize Pain After Laparoscopic Cholecystectomy Surgery, Surgical laparoscopy. endoscopy & percutaneous techniques 2022; 32: 441-448
    CrossrefPubMedGoogle Scholar
  • 18 Najam F, Jafri N, Khan MN. et al. Reduction of Acute Postoperative Pain With Pre-Emptive Pregabalin Following Laparoscopic Cholecystectomy. Cureus 2022; 14: e27783
    PubMedGoogle Scholar
  • 19 Jain S, Nazir N, Mustafi SM. Preemptive low-dose intravenous ketamine in the management of acute and chronic postoperative pain following laparoscopic cholecystectomy: a prospective randomized control study. Medical gas research 2022; 12: 141-145
    CrossrefPubMedGoogle Scholar
  • 20 Nazemroaya B, Keleidari B, Arabzadeh A. et al. Comparison of Intraperitoneal Versus Intravenous Dexamethasone on Postoperative Pain, Nausea, and Vomiting After Laparoscopic Cholecystectomy. Anesthesiology and pain medicine 2022; 12: e122203
    CrossrefPubMedGoogle Scholar
  • 21 Anwar Aly A, Mohamed Abdelhamed H, Elsayed Shrief S. et al. Elmanzalawy, Effect of Foot Massage on Pain and Anxiety Levels among Patients underwent Laparoscopic Cholecystectomy. Egyptian Journal of Health Care 2022; 13: 605-614
    CrossrefPubMedGoogle Scholar
  • 22 Çankaya A, Saritaş S. Effect of Classic Foot Massage on Vital Signs, Pain, and Nausea/Vomiting Symptoms After Laparoscopic Cholecystectomy. Surgical laparoscopy, endoscopy & percutaneous techniques 2018; 28: 359-365
    CrossrefPubMedGoogle Scholar
  • 23 Pasyar N, Rambod M, Kahkhaee FR. The Effect of Foot Massage on Pain Intensity and Anxiety in Patients Having Undergone a Tibial Shaft Fracture Surgery: A Randomized Clinical Trial. Journal of orthopaedic trauma 2018; 32: e482-e486
    CrossrefPubMedGoogle Scholar
  • 24 Wang HL, Keck JF. Foot and hand massage as an intervention for postoperative pain. Pain management nursing: official journal of the American Society of Pain Management Nurses 2004; 5: 59-65
    CrossrefPubMedGoogle Scholar
  • 25 Öztürk R, Sevil Ü, Sargin A. et al. The effects of reflexology on anxiety and pain in patients after abdominal hysterectomy: A randomised controlled trial. Complementary therapies in medicine 2018; 36: 107-112
    CrossrefPubMedGoogle Scholar
  • 26 Sözen KK, Karabulut N. Efficacy of Hand and Foot Massage in Anxiety and Pain Management Following Laparoscopic Cholecystectomy: A Controlled Randomized Study. Surgical laparoscopy, endoscopy & percutaneous techniques 2020; 30: 111-116
    CrossrefPubMedGoogle Scholar
  • 27 Badakhsh M, Hamedi A, Azizi S. Effect of Metatarsus Reflexology Massage in Laparoscopic Cholecystectomy Nausea: A Randomized Clinical Trial. World 2019; 12: 117
    PubMedGoogle Scholar
  • 28 Moher D, Liberati A, Tetzlaff J. et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Bmj 2009; 339: b2535
    CrossrefPubMedGoogle Scholar
  • 29 HigginsJPT G. Cochrane handbook for systematic reviews of interventions version 5.1. 0 [updated March 2011]. The cochrane collaboration. 2011
    PubMedGoogle Scholar
  • 30 Doulatabad SN, Rezanejad M, Afrasiabifar A. et al. The effect of massage of hugo point on severity of pain in patients undergoing laparoscopic cholecystectomy: A randomized clinical trial. Middle East Journal of Family Medicine 2017; 7: 86
    CrossrefPubMedGoogle Scholar
  • 31 Jadad AR, Moore RA, Carroll D. et al. Assessing the quality of reports of randomized clinical trials: Is blinding necessary?. Controlled Clinical Trials 1996; 17: 1-12
    CrossrefPubMedGoogle Scholar
  • 32 Kjaergard LL, Villumsen J, Gluud C. Reported Methodologic Quality and Discrepancies between Large and Small Randomized Trials in Meta-Analyses. Annals of Internal Medicine 2001; 135: 982-989
    CrossrefPubMedGoogle Scholar
  • 33 Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in medicine 2002; 21: 1539-1558
    CrossrefPubMedGoogle Scholar
  • 34 Koraş K, Karabulut N. The Effect of Foot Massage on Postoperative Pain and Anxiety Levels in Laparoscopic Cholecystectomy Surgery: A Randomized Controlled Experimental Study. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses 2019; 34: 551-558
    CrossrefPubMedGoogle Scholar
  • 35 Baljon KJ, Romli MH, Ismail AH. et al. Effectiveness of breathing exercises, foot reflexology and back massage (BRM) on labour pain, anxiety, duration, satisfaction, stress hormones and newborn outcomes among primigravidae during the first stage of labour in Saudi Arabia: a study protocol for a randomised controlled trial. BMJ open 2020; 10: e033844
    CrossrefPubMedGoogle Scholar