Ana Carolina B de Siqueira1, Ana Clara G Miranda1, Bianca R Castelo Branco1, Ian Vitor P de Lima1, Luiz F Silva Filho1, Victor S Da Silva1, Diego L Lima, MD2, Luiz C Miranda, Md, phD1. 1University of Pernambuco, 2State Servers Hospital
Introduction: the high incidence of postoperative nausea and vomiting (PONV) makes the first postoperative hours of laparoscopic cholecystectomy (LC) unpleasant. Auriculoacupuncture (AA) showed to be efficient on the prevention of PONV after hysterectomies and open cholecystectomies; however, studies about AA to prevent PONV are still rare and inconclusive.
Objective: study AA effects on the prevention of PONV at the immediate postoperative of uncomplicated LC. Methodology: 68 patients were randomly divided into two groups, AA (n=35) and control (n=33), and evaluated prospectively. The needle was applied before the anesthetic induction, remaining for 20 minutes. Nausea intensity was evaluated using an analogic visual scale and PONV events were registered immediately after postanesthesia care unit admission and at the second, fourth and sixth hours after the surgery.
Results: the AA group had significantly less nausea and vomiting than control group considering the whole post-operative period (16/35 vs 27/33, p= 0.03 and 4/35vs 15/33, p= 0.005 respectively), less nausea events at 2 hours (p=0.03) and at 6 hours (p=0.001) and less vomiting events at 2 hours (p=0.01) and at 6 hours (p=0.02) after surgery.
Conclusion: AA relieved PONV in a significant number of the patients, but it did not prevent it in any of them. AA can be recommended as an adjuvant option for prevention of PONV on selected patients.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86575
Program Number: S019
Presentation Session: Biliary Session
Presentation Type: Podium