title: [Efficacy of modified auriculotherapy for post-operative pain control in patients subjected to laparoscopic cholecystectomy].
abstract: BACKGROUND
  The high frequency of post-operative pain in the patients after laparoscopic cholecystectomy has led to the need to use multiple analgesic therapies. These include auriculotherapy, although not very good results have been obtained with the traditional techniques.
  
  
  OBJECTIVE
  To evaluate the effectiveness of modified auriculotherapy for post-operative pain control in laparoscopic cholecystectomy patients.
  
  
  METHODS
  Double-blind controlled clinical trial. Experimental group: Different points ear puncture with xylocaine without needles vs. placebo group. Post-operative visual analogue scale (VAS) at 6, 12, 18, 24, 36, and 48h and rescue doses of analgesics, were measured in both groups.
  
  
  RESULTS
  At 6h post-operative, 87% of the auriculotherapy group had a VAS of<4 vs. 48% of placebo group (p = 0.004), and 96 vs. 74% (p = 0.008) at 18hours. At 24, 36 and 48h after surgery there were no differences, and as all of the patients in both groups had a VAS<4, they were discharged to the hospital.
  
  
  CONCLUSIONS
  Modified auriculotherapy was better to the conventional analgesics for post-operative pain control in patients subjected to laparoscopic cholecystectomy.
authors.affiliation: Servicio de Cirugía, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, México.
authors.forename: Jiovanni
authors.initials: J
authors.lastname: Toca-Villegas
authors.affiliation: Servicio de Cirugía, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, México.
authors.forename: David
authors.initials: D
authors.lastname: Esmer-Sánchez
authors.affiliation: Servicio de Cirugía, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, México.
authors.forename: Jesús
authors.initials: J
authors.lastname: García-Narváez
authors.affiliation: Departamento de Postgrado Clínico, Facultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.
authors.forename: Martín
authors.initials: M
authors.lastname: Sánchez-Aguilar
authors.affiliation: Departamento de Postgrado Clínico, Facultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México. Electronic address: kiko_hdzs@hotmail.com.
authors.forename: Juan Francisco
authors.initials: JF
authors.lastname: Hernández-Sierra
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage; D055097:Auriculotherapy; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D004311:Double-Blind Method; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000628:therapy*; D055815:Young Adult
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D008012:Lidocaine
keywords: Auriculoterapia modificada; Cholecystectomy; Colecistectomía; Dolor postoperatorio; Laparoscopia; Laparoscopy; Modified auriculotherapy; Post-operative pain