Abdominal Massage to Prevent Postoperative Ileus After Colorectal Surgery
Abdominal Massage to Prevent Postoperative Ileus After Colorectal Surgery
Post operative ileus refers to an disrupt in normal gastrointestinal motility responsible of
 nausea and vomiting. It occurs in about 15-20% of colorectal surgeries. Some preventive
 measures have been included in the Enhanced Recovery After Surgery Program such as early
 mobilisation and enteral feeding or minimal invasive approach.

 Abdominal massage is not widely applied amongst general surgery team and is not part of the
 recommendation. This technique refers to profound manœuvrers of visceras through abdominal
 palpation and breathing, and has been used as part of the local protocol of Grenoble Alps
 University Hospital for many years with satisfactory results. No complications have been
 reported.

 Various studies have evaluated the value of physiotherapy and massage for resumption of
 normal bowel function. A study from Rouen University Hospital demonstrated that a mechanical
 stress to the cuteaneous tissue by LPG Cellu M50® machine would reduce pain and lower the
 time to first flatus. Similar results were obtained after Cardiac surgery. In a preclinical
 study on operated rats, abdominal massage also improved normal bowel function recovery.

 Physiotherapist plays a key role in RAC. Their action on respiratory function (movement of
 diaphragm) and musculoskeletal system (early walking) allows a faster recovery and a
 reduction of time of hospitalization. Even though the results on time to first flatus and
 anxiety seem interesting, Deep abdominal massage has never been evaluated.
Inclusion Criteria:

 -  Adult patients >18years (homme et femme de plus de 18 ans)

 -  Elective Patients undergoing colorectal surgery with intestinal anastomosis
 (Colectomy, Anterior Resection, intestinal resection or stoma closure) without
 protective stoma creation in an Enhanced Recovery After Surgery Program

 -  Able to give the consent

 -  Affiliated to Social Security

 Exclusion Criteria:

 -  Mental disorders

 -  Cutaneous infection on the abdomen

 -  Pregrancy and breast feeding

 -  Patients unable to give their free consent (incarcerated, legal protection measures)