Background: The pain after nephrectomy, just as any other surgery, is one of the problems that surgeons confront. The aim of this study was to evaluate the relieving effect of acupuncture on the pain experienced after nephrectomy.
Methods: This was a clinical trial that was performed on 30 patients with mean age of 40.8 ± 12.54 who were candidates for nephrectomy. After matching for gender and age, the patients were divided into either acupuncture or control group. In acupuncture group, four points were stimulated for 30 minutes, and in control group, other points were stimulated ineffectively for 30 min. Then, the pain experienced in the first six hours after the surgery was registered by a blind observer based on visual analog scale. Data were analyzed using SPSS software and the t-test.
Results: Our results showed that the severity of pain in the acupuncture group was significantly lower than that in the control group. Also, there were six patients who required opioids in the acupuncture group, but there were 12 such patients in the control group. The mean opiate used in the control group was significantly greater than the mean for the acupuncture group.
Conclusions: Acupuncture can reduce the severity of pain and the demand for opioids in patients who have undergone nephrectomy.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: This research was supported by the Deputy of Research at Mashhad University of Medical Sciences. This article was extracted from doctoral thesis.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
1. PoletajewS, AntoniewiczAA, BorowkaA. Kidney removal: the past, presence, and perspectives: a historical review. Urol J2010;7:215–23.Search in Google Scholar
3. KotaniN, HashimotoH, SatoY, SesslerDI, YoshiokaH, KitayamaM, et al. Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses. Anesthesiology2001;95:349–56.10.1097/00000542-200108000-00015Search in Google Scholar PubMed
4. AgahM, FalihiA. The efficacy of acupuncture in extracorporeal shock wave lithotripsy. Urol J2004;1:195–9.Search in Google Scholar
5. RajiB, JalaliSM, Noyan AshrafMA, SharifiM, Peiravy SereshkeH. Acupuncture for post-operative pain after inguinal hernia repair: a placebo controlled, double-blinded clinical trial. TUMJ2007;65:36–40.Search in Google Scholar
6. VickersAJ, RuschVW, MalhotraVT, DowneyRJ, CassilethBR. Acupuncture is a feasible treatment for post-thoracotomy pain: prospective pilot trial. BMC Anesthesiol2006;6:5.10.1186/1471-2253-6-5Search in Google Scholar PubMed PubMed Central
7. LefevreJ, GiraudeauJP, JullienP, AtinaultA, CaraM, CazalaaJB, et al. Effects of acupunctural electro-stimulation on per and post-operative analgesia during kidney surgery. Agressologie1984;25:1231–6.Search in Google Scholar
9. LikarH, KagerI, TrampitschE, BreschanC, SzelesJ. Electrical point stimulation via ear acupuncture: a randomized, double blind, controlled pilot study in patients undergoing laparoscopic nephrectomy. Schmerz2007;21:154–9.Search in Google Scholar
10. RagiB, JalaliSM, Noyan AshrafMA, SharifiM, Peiravy SereshkeH. Acupuncture for post-operative pain after inguinal hernia repair: a placebo controlled double-blinded clinical trial. TUMJ2007;65:36–40.Search in Google Scholar
11. UsichenkoTI, HermsenM, WitstruckT, HoferA, PavlovicD, LehmannC, et al. Auricular acupuncture for pain relief after ambulatory knee arthroscopy-A pilot study. Evid Based Complement Altern Med2005;2:185–9.10.1093/ecam/neh097Search in Google Scholar PubMed PubMed Central
12. UsichenkoTI, DinseM, HermsenM, WitstruckT, PavlovicD, LehmannCh, et al. Auricular acupuncture for pain relief after total hip arthroplasty: a randomized controlled study. Pain2005;114:320–7.10.1016/j.pain.2004.08.021Search in Google Scholar PubMed
15. JosimariD, Santana-FilhoVJ, GuerraDR. Hypoalgesic effect of the transcutaneous electrical nerve stimulation following inguinal herniorrhaphy: a randomized, controlled trial. J Pain2008;9:623–9.10.1016/j.jpain.2008.01.337Search in Google Scholar PubMed
16. SunY, GanTJ, DuboseJW. Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials. Br J Anaesth2008;101:151–60.10.1093/bja/aen146Search in Google Scholar PubMed
18. GilbertJM, GledhillT, LawN, GeorgeC. Controlled trial of transcutaneous electrical nerve stimulation (TENS) for postoperative pain relief following inguinal herniorrhaphy. Br J Surg1986;73:749–51.10.1002/bjs.1800730923Search in Google Scholar PubMed
20. TaghaviR, TabasiKT, MogharabianN, AsadpourA, GolchianA, MohamadiS, et al. The effect of acupuncture on relieving pain after inguinal surgeries. Korean J Pain2013;26:46–50.10.3344/kjp.2013.26.1.46Search in Google Scholar PubMed PubMed Central
©2015 by De Gruyter