The Effect of Acupressure at PC6 and REN12 on Vomiting in Patients Undergoing Inguinal Hernia Repair: A Double-Blind Randomized Clinical Trial

Seyyed Roohollah Najjari; Habib Shareinia; Seyyed Javad Mojtabavi; Mohammad Mojalli

doi:10.3889/oamjms.2019.302

Authors

Seyyed Roohollah Najjari Student Research Committee, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
Habib Shareinia Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Social Development and Health Promotion Center, Gonabad University of Medical Sciences, Gonabad, Iran
Seyyed Javad Mojtabavi Clinical Specialist in Chinese Medicine, Specialized Clinic of Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Mohammad Mojalli Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Social Development and Health Promotion Center, Gonabad University of Medical Sciences, Gonabad, Iran

DOI:

https://doi.org/10.3889/oamjms.2019.302

Keywords:

Acupressure, PC6 point, REN 12 point, Postoperative Nausea and Vomiting, Hernia, Inguinal, Postoperative Complications

Abstract

BACKGROUND: Inguinal hernia surgery is one of the most commonly performed surgeries with complications such as postoperative nausea and vomiting (PONV).

AIM: This study aimed to evaluate the effect of acupressure at PC6 and REN 12 points on vomiting of patients undergoing inguinal hernia repair.

MATERIAL AND METHODS: This is a double-blind, randomised clinical trial performed on 60 patients undergoing inguinal hernia repair. Using permutation blocks, patients were allocated in two groups (acupressure at PC6 and REN12 points). After the surgery and full patient consciousness, acupressure was applied on PC6 and REN 12 points separately in each group for 5 minutes; 2, 4 and 6 hours later, acupressure was repeated on those points. Two hours after each acupressure, frequency and severity of vomiting were determined.

RESULTS: The results showed that there was no significant difference between the frequency of vomiting before the intervention and 2 hours after the intervention in the two intervention groups (P â‰¥ 0.05). Additionally, none of the two intervention groups experienced vomiting at 4, 6, and 8 hours after the intervention.

CONCLUSION: It seems that acupressure at PC6 and REN 12 points are not effective in reducing the frequency and severity of vomiting in patients after inguinal hernia surgery.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

LeBlanc KE, LeBlanc LL, LeBlanc KA. Inguinal hernias: diagnosis and management. Am Fam Physician. 2013; 87(12):844-8.

Montgomery J, Dimick JB, Telem DA. Management of Groin Hernias in Adults-2018. JAMA. 2018; 320(10):1029-1030. https://doi.org/10.1001/jama.2018.10680 PMid:30128503

van den Heuvel B, Dwars BJ, Klassen DR, Bonjer HJ. Is surgical repair of an asymptomatic groin hernia appropriate? A review. Hernia. 2011; 15(3):251-9. https://doi.org/10.1007/s10029-011-0796-y PMid:21298308

Burcharth J. The epidemiology and risk factors for recurrence after inguinal hernia surgery. Dan Med J. 2014; 61(5): B4846.

Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M. Complications in groin hernia surgery and the way out. J Minim Access Surg. 2006; 2(3):174-7. https://doi.org/10.4103/0972-9941.27734 PMid:21187992 PMCid:PMC2999781

Stephenson BM. Complications of open groin hernia repairs. Surg Clin North Am. 2003; 83(5):1255-78. https://doi.org/10.1016/S0039-6109(03)00128-2

Adib-Hajbaghery M, Etri M, Hosseinian M. The effect of acupressure on the Pericardium 6 point on pain, nausea and vomiting after appendectomy. Complementary Medicine Journal. 2012; 2(2):171-82.

Callesen T. Inguinal hernia repair: anaesthesia, pain and convalescence. Dan Med Bull. 2003; 50(3):203-18.

Firouzian A, Kiasari AZ, Godazandeh G, Baradari AG, Alipour A, Taheri A, et al. The effect of intravenous dextrose administration for prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy: A double-blind, randomised controlled trial. Indian J Anaesth. 2017; 61(10):803-810. https://doi.org/10.4103/ija.IJA_420_16 PMid:29242652 PMCid:PMC5664885

Gan TJ. Risk factors for postoperative nausea and vomiting. Anesth Analg. 2006; 102(6):1884-98. https://doi.org/10.1213/01.ANE.0000219597.16143.4D PMid:16717343

Shaikh SI, Nagarekha D, Hegade G, Marutheesh M. Postoperative nausea and vomiting: A simple yet complex problem. Anesth Essays Res. 2016; 10(3):388-396. https://doi.org/10.4103/0259-1162.179310 PMid:27746521 PMCid:PMC5062207

Bryson EO, Frost EA, Rosenblatt M. Management of the patient at high risk for postoperative nausea and vomiting. Middle East J Anaesthesiol. 2007; 19(1):15-35.

Habib AS, Chen YT, Taguchi A, Hu XH, Gan TJ. Postoperative nausea and vomiting following inpatient surgeries in a teaching hospital: a retrospective database analysis. Curr Med Res Opin. 2006; 22(6):1093-9. https://doi.org/10.1185/030079906X104830 PMid:16846542

Kovac AL. Updates in the Management of Postoperative Nausea and Vomiting. Adv Anesth. 2018; 36(1):81-97. https://doi.org/10.1016/j.aan.2018.07.004 PMid:30414643

Cruthirds D, Sims PJ, Louis PJ. Review and recommendations for the prevention, management, and treatment of postoperative and postdischarge nausea and vomiting. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 115(5):601-11. https://doi.org/10.1016/j.oooo.2012.09.088 PMid:23313231

Nunley C, Wakim J, Guinn C. The effects of stimulation of acupressure point p6 on postoperative nausea and vomiting: a review of literature. J Perianesth Nurs. 2008; 23(4):247-61. https://doi.org/10.1016/j.jopan.2008.05.001 PMid:18657760

Lee SK. Postoperative nausea and vomiting: pharmacologic and nonpharmacologic therapies. Korean J Anesthesiol. 2013; 65(6):491-2. https://doi.org/10.4097/kjae.2013.65.6.491 PMid:24427452 PMCid:PMC3888839

Abbasi P, Mojalli M, Kianmehr M, Zamani S. Effect of acupressure on constipation in patients undergoing hemodialysis: A randomized double-blind controlled clinical trial. Avicenna J Phytomed. 2019; 9(1):84-91.

Kawakita K, Okada K. Acupuncture therapy: mechanism of action, efficacy, and safety: a potential intervention for psychogenic disorders? Biopsychosoc Med. 2014; 8(1):4. https://doi.org/10.1186/1751-0759-8-4 PMid:24444292 PMCid:PMC3996195

Lin JG, Chen WL. Acupuncture analgesia: a review of its mechanisms of actions. Am J Chin Med. 2008; 36(4):635-45. https://doi.org/10.1142/S0192415X08006107 PMid:18711761

Fan C-F, Tanhui E, Joshi S, Trivedi S, Hong Y, Shevde K. Acupressure treatment for prevention of postoperative nausea and vomiting. Anesth Analg. 1997; 84(4):821-5. https://doi.org/10.1213/00000539-199704000-00023

Can GÃ¼rkan O, Arslan H. Effect of acupressure on nausea and vomiting during pregnancy. Complement Ther Clin Pract. 2008; 14(1):46-52. https://doi.org/10.1016/j.ctcp.2007.07.002 PMid:18243942

Wang G, Litscher DTian Y, Gaischek IJia S, Wang L, Zhang W, Litscher G. Acupuncture Point Laterality: Evidence and Perspective. Integr Med Int 2014; 1:102-107. https://doi.org/10.1159/000368926

CabÃ½oglu MT, Ergene N, Tan U. The mechanism of acupuncture and clinical applications. Int J Neurosci. 2006; 116(2):115-25. https://doi.org/10.1080/00207450500341472 PMid:16393878

Werntoft E, Dykes AK. Effect of acupressure on nausea and vomiting during pregnancy. A randomized, placebo-controlled, pilot study. J Reprod Med. 2001; 46(9):835-9.

Lee MK, Chang SB, Kang DH. Effects of SP6 acupressure on labor pain and length of delivery time in women during labor. J Altern Complement Med. 2004; 10(6):959-65. https://doi.org/10.1089/acm.2004.10.959 PMid:15673989

Mojalli M, Abbasi P, Kianmehr M, Zamani S. Effect of Acupressure on Fecal Impaction in Hemodialysis Patients. J Mazandaran Univ Med Sci. 2016; 26(136):18-25.

Mehta P, Dhapte V, Kadam S, Dhapte V. Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. J Tradit Complement Med. 2016; 7(2):251-263. https://doi.org/10.1016/j.jtcme.2016.06.004 PMid:28417094 PMCid:PMC5388088

Agarwal A, Bose N, Gaur A, Singh U, Gupta MK, Singh D. Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anaesth. 2002; 49(6):554-60. https://doi.org/10.1007/BF03017380 PMid:12067865

Samad K, Afshan G, Kamal R. Effect of acupressure on postoperative nausea and vomiting in laparoscopic cholecystectomy. J Pak Med Assoc. 2003; 53(2):68-72.

Barsoum G, Perry E, Fraser I. Postoperative nausea is relieved by acupressure. J R Soc Med. 1990; 83(2):86-9. https://doi.org/10.1177/014107689008300209 PMid:2181138 PMCid:PMC1292503

Yentis SM, Bissonnette B. Ineffectiveness of acupuncture and droperidol in preventing vomiting following strabismus repair in children. Can J Anaesth. 1992; 39(2):151-4. https://doi.org/10.1007/BF03008646 PMid:1544195

Harmon D, Gardiner J, Harrison R, Kelly A. Acupressure and the prevention of nausea and vomiting after laparoscopy. Br J Anaesth. 1999; 82(3):387-90. https://doi.org/10.1093/bja/82.3.387 PMid:10434821

Lee A, Chan SK, Fan LT. Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2015; (11):CD003281. https://doi.org/10.1002/14651858.CD003281.pub4 PMCid:PMC4679372

Emelianova S, Mazzotta P, Einarson A, Koren G. Prevalence and severity of nausea and vomiting of pregnancy and effect of vitamin supplementation. Clin Invest Med. 1999; 22(3):106-10.

Beal MW. Acupuncture and related treatment modalities. Part I: Theoretical background. J Nurse Midwifery. 1992; 37(4):254-9. https://doi.org/10.1016/0091-2182(92)90129-Q

Heart Outcomes Prevention Evaluation Study Investigators, Yusuf S, Sleight P, Pogue J, Bosch J, Davies R, Dagenais G. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. 2000; 342(3):145-53. https://doi.org/10.1056/NEJM200001203420301 PMid:10639539

Gao L, Chen B, Zhang Q, Zhao T, Li B, Sha T, et al. Acupuncture with different acupoint combinations for chemotherapy-induced nausea and vomiting: study protocol for a randomized controlled trial. BMC Complement Altern Med. 2016; 16(1):441. https://doi.org/10.1186/s12906-016-1425-1 PMid:27821107 PMCid:PMC5100267

Gottschling S, Reindl T, Meyer S, Berrang J, Henze G, Graeber S, et al. Acupuncture to alleviate chemotherapy-induced nausea and vomiting in pediatric oncology-a randomized multicenter crossover pilot trial. Klin Padiatr. 2008; 220(6):365-70. https://doi.org/10.1055/s-0028-1086039 PMid:18949672

Najjari SR, Shareinia H, Mojtabavi SJ, Mojalli M. The Effect of Acupressure PC6 and REN12 Points on Intensity of Nausea in Patients Undergoing Inguinal Hernia Repair Surgery. J Isfahan Med Sch 2019; 36(512): 1155-61. https://doi.org/10.22122/jims.v36i512.11352