"Does Selective Intraoperative Music Reduce Pain Following Abdominal Wa" by Sara M. Maskal, Corey K. Gentle et al.
 

Does Selective Intraoperative Music Reduce Pain Following Abdominal Wall Reconstruction? a Double-blind Randomized Controlled Trial

Journal

Hernia

Year

2024

Abstract

PURPOSE: Although intraoperative music is purported to mitigate postoperative pain after some procedures, its application has never been explored in abdominal wall reconstruction (AWR). We sought to determine whether intraoperative music would decrease early postoperative pain following AWR. METHODS: We conducted a placebo-controlled, patient-, surgeon-, and assessor-blinded, randomized controlled trial at a single center between June 2022 and July 2023 including 321 adult patients undergoing open AWR with retromuscular mesh. Patients received noise-canceling headphones and were randomized 1:1 to patient-selected music or silence after induction, stratified by preoperative chronic opioid use. All patients received multimodal pain control. The primary outcome was pain (NRS-11) at 24 ± 3 h. The primary outcome was analyzed by linear regression with pre-specified covariates (chronic opioid use, hernia width, operative time, myofascial release, anxiety disorder diagnosis, and preoperative STAI-6 score). RESULTS: 178 patients were randomized to music, 164 of which were analyzed. 177 were randomized to silence, 157 of which were analyzed. At 24 ± 3 h postoperatively, there was no difference in the primary outcome of NRS-11 scores (5.18 ± 2.62 vs 5.27 ± 2.46, p = 0.75). After adjusting for prespecified covariates, the difference of NRS-11 scores at 24 ± 3 h between the music and silence groups remained insignificant (p = 0.83). There was no difference in NRS-11 or STAI-6 scores at 48 ± 3 and 72 ± 3 h, intraoperative sedation, or postoperative narcotic usage. CONCLUSION: For patients undergoing AWR, there was no benefit of intraoperative music over routine multimodal pain control for early postoperative pain reduction. TRIAL REGISTRATION: ClinicalTrials.gov: NCT05374096.

Music and Health Institute Terms

Pain; Pain Management and Control; Postoperative Pain; Surgery; Abdominal Surgery; Subjective Measures; Music Listening; Recorded Music Listening; Music Medicine

Indexed Terms

Abdominal Wall; Abdominal wall reconstruction; Elderly; Double-Blind Method; Herniorrhaphy; Intraoperative Care; Multimodal analgesia; Opioid consumption; Pain Management; Pain Measurement; Postoperative Pain; Postoperative pain; Ventral hernia repair

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

PMID: 38890182 PMCID: PMC11450090

Document Type

Article

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