Comparison of the effects of conventional TENS and transcutaneous pulsed radiofrequency on postoperative analgesia following abdominal hysterectomy

Project no. 32541 · Status: Kapanmış (Yayın bekleniyor) · 2025

Summary

<p><strong>Aim:</strong>&nbsp;The&nbsp;aim&nbsp;of&nbsp;this&nbsp;study&nbsp;was&nbsp;to&nbsp;compare&nbsp;the&nbsp;effects&nbsp;of&nbsp;transcutaneous&nbsp;electrical&nbsp;nerve&nbsp;stimulation&nbsp;(TENS)&nbsp;and&nbsp;transcutaneous&nbsp;pulsed&nbsp;radiofrequency&nbsp;(TPRF)&nbsp;on&nbsp;postoperative&nbsp;pain&nbsp;control&nbsp;in&nbsp;patients&nbsp;undergoing&nbsp;abdominal&nbsp;hysterectomy,&nbsp;and&nbsp;to&nbsp;evaluate&nbsp;the&nbsp;effects&nbsp;of&nbsp;these&nbsp;methods&nbsp;on&nbsp;analgesic&nbsp;requirements,&nbsp;vital&nbsp;signs,&nbsp;sedation&nbsp;levels&nbsp;and&nbsp;adverse&nbsp;effects.</p><p><strong>Method:</strong>&nbsp;Patients&nbsp;who&nbsp;had&nbsp;undergone&nbsp;abdominal&nbsp;hysterectomy&nbsp;were&nbsp;included&nbsp;in&nbsp;this&nbsp;prospective,&nbsp;randomised&nbsp;and&nbsp;controlled&nbsp;study.&nbsp;The&nbsp;patients&nbsp;were&nbsp;divided&nbsp;into&nbsp;three&nbsp;groups:&nbsp;TENS,&nbsp;TPRF&nbsp;and&nbsp;a&nbsp;control&nbsp;group.&nbsp;Pain&nbsp;intensity&nbsp;in&nbsp;the&nbsp;postoperative&nbsp;period&nbsp;was&nbsp;assessed&nbsp;using&nbsp;the&nbsp;Visual&nbsp;Analogue&nbsp;Scale&nbsp;(VAS)&nbsp;and&nbsp;the&nbsp;Verbal&nbsp;Rating&nbsp;Scale&nbsp;(VRS).&nbsp;In&nbsp;addition,&nbsp;the&nbsp;need&nbsp;for&nbsp;supplementary&nbsp;analgesia,&nbsp;heart&nbsp;rate,&nbsp;respiratory&nbsp;rate,&nbsp;level&nbsp;of&nbsp;sedation&nbsp;and&nbsp;side&nbsp;effects&nbsp;such&nbsp;as&nbsp;nausea&nbsp;and&nbsp;vomiting&nbsp;were&nbsp;recorded&nbsp;and&nbsp;compared&nbsp;between&nbsp;the&nbsp;groups.</p><p><strong>Results:</strong>&nbsp;It&nbsp;was&nbsp;found&nbsp;that&nbsp;VAS&nbsp;and&nbsp;VRS&nbsp;scores&nbsp;in&nbsp;the&nbsp;TENS&nbsp;group&nbsp;were&nbsp;lower&nbsp;than&nbsp;those&nbsp;in&nbsp;the&nbsp;other&nbsp;groups&nbsp;during&nbsp;the&nbsp;postoperative&nbsp;follow-up&nbsp;period.&nbsp;Furthermore,&nbsp;a&nbsp;significant&nbsp;reduction&nbsp;in&nbsp;the&nbsp;need&nbsp;for&nbsp;additional&nbsp;analgesics&nbsp;was&nbsp;observed&nbsp;in&nbsp;patients&nbsp;receiving&nbsp;TENS.&nbsp;Pain-related&nbsp;physiological&nbsp;parameters,&nbsp;such&nbsp;as&nbsp;heart&nbsp;rate&nbsp;and&nbsp;respiratory&nbsp;rate,&nbsp;were&nbsp;lower&nbsp;in&nbsp;the&nbsp;TENS&nbsp;group.&nbsp;Although&nbsp;an&nbsp;improvement&nbsp;in&nbsp;pain&nbsp;control&nbsp;was&nbsp;also&nbsp;observed&nbsp;in&nbsp;the&nbsp;TPRF&nbsp;group&nbsp;compared&nbsp;with&nbsp;the&nbsp;control&nbsp;group,&nbsp;the&nbsp;results&nbsp;were&nbsp;not&nbsp;as&nbsp;pronounced&nbsp;as&nbsp;those&nbsp;in&nbsp;the&nbsp;TENS&nbsp;group.&nbsp;No&nbsp;clinically&nbsp;significant&nbsp;differences&nbsp;were&nbsp;observed&nbsp;between&nbsp;the&nbsp;groups&nbsp;in&nbsp;terms&nbsp;of&nbsp;sedation&nbsp;levels&nbsp;or&nbsp;the&nbsp;side-effect&nbsp;profile.</p><p><strong>Conclusion:</strong>&nbsp;TENS&nbsp;and&nbsp;TPRF&nbsp;are&nbsp;safe&nbsp;and&nbsp;effective&nbsp;methods&nbsp;for&nbsp;managing&nbsp;post-operative&nbsp;pain&nbsp;following&nbsp;abdominal&nbsp;hysterectomy.&nbsp;However,&nbsp;TENS&nbsp;has&nbsp;shown&nbsp;superior&nbsp;results&nbsp;in&nbsp;terms&nbsp;of&nbsp;reducing&nbsp;pain&nbsp;scores&nbsp;and&nbsp;lowering&nbsp;the&nbsp;need&nbsp;for&nbsp;additional&nbsp;analgesics.&nbsp;It&nbsp;is&nbsp;considered&nbsp;that&nbsp;TENS&nbsp;can&nbsp;be&nbsp;used&nbsp;as&nbsp;an&nbsp;effective&nbsp;adjunctive&nbsp;method&nbsp;in&nbsp;multimodal&nbsp;post-operative&nbsp;analgesia&nbsp;approaches.</p><p><strong>Keywords:</strong>&nbsp;Abdominal&nbsp;hysterectomy,&nbsp;post-operative&nbsp;pain,&nbsp;transcutaneous&nbsp;electrical&nbsp;nerve&nbsp;stimulation,&nbsp;transcutaneous&nbsp;pulsed&nbsp;radiofrequency,&nbsp;multimodal&nbsp;analgesia.</p>

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