The Effect of Cold Gel Pack on Pain Reduction in Patients Undergoing Complete Surgical Staging: A randomized controlled trial
Article Sidebar
Main Article Content
Abstract
Objectives: To study the effectiveness of a cold gel pack for reducing surgical wound pain in patients undergoing complete surgical staging
Materials and Methods: We enrolled women 18 or older with gynecologic malignancy and undergoing complete surgical staging by gynecologic oncologists between November 2021 and May 2022. They were randomly assigned to two groups: the study group – who received a cold gel pack applied to the low midline surgical wound 6 h post-operatively, and the control group – who received standard post-operative care. Post-operative pain at 2, 6, and 12 h were evaluated.
Results: Forty eligible women were enrolled. Post-operative pain at 12 h was lower in the study group albeit not statistically significant (4.95 ± 1.67 vs 5.90 ± 1.65, p = 0.08). Time to first flatus and additional opioids consumption were also not significantly different between groups (2,506.50 ± 85.86 vs 2,473.50 ± 189.69 min, p = 0.2) and (11.80 ± 3.37 vs 12.05 ± 3.52 mg, p = 0.85). No adverse events were observed.
Conclusion: Cold gel pack did not significantly reduce post-operative pain compared with standard post-operative care in patients undergoing complete surgical staging.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician 2004;7:395-9.
Brennan TJ. Pathophysiology of postoperative pain. Pain 2011;152(3 Suppl):S33-S40.
Bogani G, Sarpietro G, Ferrandina G, Gallotta V, DI Donato V, Ditto A, et al. Enhanced recovery after surgery (ERAS) in gynecology oncology. Eur J Surg Oncol 2021;47: 952-9.
Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: a clinical practice gfideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain 2016;17:131-57.
Garcia-Quintero P, Suraci N, D Mello J. TAP blocks: A recent review of anesthetic combinations. J Pain Relief 2018;7:333:1-3
Transversus abdominis plane block [Internet]. Medscape 2018 [cited 15 April 2021]. Available from: https://emedicine.medscape.com/article/2000944-periprocedure?reg=1
Cryotherapy [Internet]. ChiroACCESS. 2022 [cited 15 April 2021]. Available from: http://www.chiroaccess.com/Articles/Cryotherapy-A-Review-of-the-Literature.aspx?id=0000070
Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med 2004;32:251-61.
Watkins AA, Johnson TV, Shrewsberry AB, Nourparvar P, Madni T, Watkins CJ, et al. Ice packs reduce postoperative midline incision pain and narcotic use: a randomized controlled trial. J Am Coll Surg 2014;219:511-7.
Koç M, Tez M, Yoldaş O, Dizen H, Göçmen E. Cooling for the reduction of postoperative pain: prospective randomized study. Hernia 2006;10:184-6.
Finan MA, Roberts WS, Hoffman MS, Fiorica JV, Cavanagh D, Dudney BJ. The effects of cold therapy on postoperative pain in gynecologic patients: a prospective, randomized study. Am J Obstet Gynecol 1993;168:542-4.
Lu YY, Su ML, Gau ML, Lin KC, Au HK. The efficacy of cold-gel packing for relieving episiotomy pain - a quasi-randomised control trial. Contemp Nurse 2015;50:26-35.
Nuangpho W, Srinil S, Tangsiriwatthana T, Siripipattanakul M. Gel pack reduced postoperative pain in benign gynecologic surgery: a randomized controlled trial. Thai J Obstet Gynaecol 2018; 26: 52-8.
Chumkam A, Pongrojpaw D, Chanthasenanont A, Pattaraarchachai J, Bhamarapravatana K, Suwannarurk K. Cryotherapy reduced postoperative pain in gynecologic surgery: a randomized controlled trial. Pain Res Treat 2019;2019:2405159.
Suwannalert P, Chanthasenanont A, Pongrojpaw D. Effect of applying cold gel pack on reduction of postoperative pain in cesarean section, low midline skin incision: A randomized controlled trial. J Obstet Gynaecol Res 2021;47:2653-8.
Siripanthong P, Wuttikonsammakit P, Chamnan P. Efficacy of cold gel pack in reducing postoperative pain in cesarean delivery at Sanpasitthiprasong Hospital: randomized controlled trial. Thai J Obstet Gynaecol 2022;30:15-24.