TY  - BOOK
AU  - Iglesia, Cheryl B
AU  - Tefera, Eshetu
TI  - Therapeutic Suggestion in Postoperative Pain Control: A Randomized Controlled Trial
SN  - 2151-8378
PY  - 2021///
KW  - *Hysterectomy, Vaginal/ae [Adverse Effects]
KW  - *Pain, Postoperative/px [Psychology]
KW  - *Postoperative Nausea and Vomiting/px [Psychology]
KW  - *Preoperative Care/px [Psychology]
KW  - Female
KW  - Humans
KW  - Hysterectomy, Vaginal/px [Psychology]
KW  - Middle Aged
KW  - Pain Measurement
KW  - Pain, Postoperative/pc [Prevention & Control]
KW  - Pelvic Organ Prolapse/su [Surgery]
KW  - Postoperative Nausea and Vomiting/pc [Prevention & Control]
KW  - Preoperative Care/mt [Methods]
KW  - Single-Blind Method
KW  - Surveys and Questionnaires
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
KW  - Journal Article
N2  - CONCLUSIONS: No differences in postoperative pain, analgesic use, return of bowel and bladder function, or pelvic organ prolapse symptoms were noted  in participants receiving perioperative therapeutic suggestion versus routine perioperative care; METHODS: This was a single-blinded, randomized controlled trial of participants undergoing vaginal hysterectomy with minimally invasive sacrocolpopexy  and concomitant prolapse repairs. The intervention group received perioperative therapeutic suggestion, whereas the control group did not. Primary outcomes  included postoperative pain scores and analgesic use. Secondary outcomes included a postoperative nausea and vomiting scale, the Pelvic Floor Distress  Inventory Questionnaire-Short Form 20, the Patient Global Impression of Improvement scale, and time to return of bowel and bladder function; OBJECTIVES: There is conflicting research on the effect of therapeutic suggestion in the perioperative period. This study systematically compared  subjective and objective measures of postoperative pain, nausea and vomiting, urinary and bowel function, and global perception of symptomatic improvement  between participants receiving perioperative therapeutic suggestion versus routine perioperative care during minimally invasive pelvic reconstructive  surgery; RESULTS: Sixteen participants were randomized to each group. Final analysis included 15 intervention and 14 control participants. Overall measures of  postoperative pain and analgesic use were low across all participants without a significant difference between intervention and control groups (opioid:  52.5; interquartile range [IQR], 25.5-58.9 vs 66 IQR, 7.3-125.8; morphine milligram equivalents; P = 0.64; acetaminophen: 2225 mg; IQR, 500-2600 mg vs 2800  mg; IQR, 650-4775 mg; P = 0.38). There were no statistically significant differences in secondary outcomes of urinary symptoms, bowel function, and  subjective improvement of prolapse symptoms
UR  - https://dx.doi.org/10.1097/SPV.0000000000000906
ER  -