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Osteopathic Manipulative Therapy (OMT) as an adjunct to postoperative care for patients with gynecologic malignancies (174)

Journal: Gynecologic Oncology Date: 2023/09, 176Pages: S67. doi: Subito , type of study: controlled clinical trial

Full text    (https://www.gynecologiconcology-online.net/article/S0090-8258(23)01360-4/fulltext)

Keywords:

cancer [48]
conference abstract [108]
controlled clinical trial [283]
female [379]
gynecologic malignancies [1]
laparotomy [2]
OMT [2951]
osteopathic manipulative treatment [2973]
post-operative care [28]
women [333]

Abstract:

Objectives: Current postoperative pain management uses a multimodal approach to decrease the use of opioids and focus on the rapid return of normal physiology. Osteopathic Manipulative Therapy (OMT) was invented nearly 150 years ago to use a patient's anatomy and its functionality to reduce pain and improve wellness. The use of OMT in postoperative care has not been well-studied. The objective of this project was to perform OMT on patients admitted postoperatively from a laparotomy for gynecologic malignancy. This pilot study aimed to ascertain if patients felt improvement post-therapy and if the therapy led to decreased length of stay, postoperative pain scores, opioid use, and faster return of bowel function compared to a non-treated control group. Methods: In this IRB-approved study, 50 patients admitted postoperatively after laparotomy from November 2021 to May 2022 received OMT on postoperative day 1. These patients responded to a survey regarding how OMT affected their postoperative care. In addition, a control group of 50 patients from 2020 to early 2021 were employed to compare the length of stay, postoperative pain scores, opioid use, and shorter time to return of bowel function using median analysis and interquartile ranges. Significance was determined using the Mann-Whitney U Test. Results: After analysis of survey results, 68% of patients stated that OMT enhanced their recovery, 60% stated a reduction in pain after treatment, and 90% recommended all patients receive OMT postoperatively. Compared to the control group, length of stay, opioid use, time to return of bowel function, and postoperative day 2 pain scores were all significantly decreased after therapy. Conclusions: In this pilot study, patients perceived improvement in pain and recovery after receiving OMT. In comparison to a control group who did not receive such treatment, these patients had improved pain scores, decreased length of stay, shorter time to return of bowel function, and less opioid use while admitted. Overall, this study shows that OMT may improve post operative care for GYN malignancy.


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