EFFECT OF TRANSCUTANEOUS TIBIAL NERVE STIMULATION (TTNS) IN PATIENTS UNDERGOING BOWEL SURGERY FOR EARLY RECOVERY OF BOWEL FUNCTION: A RANDOMIZED CONTROLLED TRIAL
试验速览
- 阶段
- 2/3 期
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Time(hours) to first documented bowel sound
研究概览
简要总结
Postoperative ileus (POl), a frequent yet often overlooked consequence of abdominal surgery, is marked by sluggish or absent bowel movement that delay recovery and prolong hospitalization. This not only escalates healthcare cost but also increase risk of serious complications. Emerging as a promising non-invasive therapy, transcutaneous neuromodulation offer a novel approach to tackle POI by enhancing parasympathetic activity, dampening sympathetic overdrive and stimulating coordinated colonic contractions. By accelerating gut recovery this technique hold potential to reduce morbidity, shorten hospital stay improve postoperative quality of life,even decrease local inflammation within gut wall -making a compelling intervention worth exploring.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Elective and Emergency Bowel Surgery (small or large bowel resection and anastomosis for both Benign and Malignant).
- •Stoma Reversal.
- •ASA Physical Status (I-III).
- •Give written informed consent.
排除标准
- •Known Peripheral Neuropathy (which might affect tibial nerve stimulation).
- •Presence of Cardiac Pacemaker or Implantable Defibrillator.
- •Chronic Gastrointestinal motility Disorders (Gastroparesis.
- •Chronic intestinal pseudo-obstruction IBS).
- •Drugs(cholinergic) Stoma formation Refusing to Participate.
结局指标
主要结局
Time(hours) to first documented bowel sound
时间窗: Time(hours)- 6 HRS TO 72 HRS.
次要结局
- Time to first passage of flatus (hours).(Time to first passage of stool (hours).)
研究者
ABHINAV KUMAR
AIIMS NEW DELHI