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RECRUITING Not applicable ClinicalTrials.gov

Effect of Acupressure on Postoperative Pain After Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair

Sponsor: Medipol University • ClinicalTrials.gov ID: NCT07787871

Registry updated: 2026-08-26
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Description

This randomized, sham-controlled clinical trial aims to evaluate the effect of acupressure on postoperative pain following laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. A total of 90 participants will be randomly assigned to one of three groups: standard postoperative care alone (control group), true acupressure plus standard care, or sham acupressure plus standard care. Acupressure will be applied at postoperative hours 1, 4, and 8 using the bilateral P6 (Neiguan), LI4 (Hegu), ST36 (Zusanli), and SP6 (Sanyinjiao) acupoints. The sham group will receive pressure at non-acupuncture points. The primary outcome is postoperative pain intensity measured using the Visual Analog Scale (VAS). Secondary outcomes include analgesic consumption, postoperative nausea and vomiting, time to mobilization, patient satisfaction, and postoperative complications.

Interventions

  • Acupressure (Procedure)
    Bilateral acupressure is applied at P6, LI4, ST36, and SP6 for 3 minutes per point at postoperative 1, 4, and 8 hours.
  • Sham Acupressure (Procedure)
    Manual pressure is applied to non-acupuncture points using the same duration and schedule as the active acupressure intervention.

Eligibility criteria

Inclusion Criteria: * Adults aged 18 to 75 years * Diagnosis of a unilateral primary inguinal hernia * Scheduled to undergo elective laparoscopic total extraperitoneal (TEP) inguinal hernia repair * American Society of Anesthesiologists (ASA) physical status I to III without an anticipated need for postoperative intensive care * Ability to understand the study procedures and provide written informed consent Exclusion Criteria: Bilateral inguinal hernia * Recurrent inguinal hernia * Strangulated inguinal hernia * History of open lower abdominal surgery * Skin infection, wound, or surgical scar at any of the acupressure application sites * ASA physical status III with an anticipated need for postoperative intensive care * ASA physical status IV * Participation in another clinical study within the previous 4 weeks * Receipt of acupressure or a similar complementary treatment within the previous 4 weeks * Refusal or inability to provide written informed consent

Conditions

Postoperative Pain Inguinal Hernia

Locations

  • Fatih Sultan Mehmet Training and Research Hospital — Istanbul, Istanbul, Turkey (Türkiye)
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record