Accéder au contenu principal

Postoperative Gum Chewing After Gynecologic Laparoscopic Surgery: A Randomized Controlled Trial

Par
OBJECTIVE: To investigate the effect of postoperative gum chewing on bowel motility after laparoscopic gynecologic surgery.
METHODS: In this randomized controlled trial, patients were allocated to either postoperative gum chewing every 2 hours for 15 minutes or standard postoperative care without gum chewing. The study's primary end points were time to first regular bowel sounds and time to first passage of flatus after surgery. Secondary end points were time of operation to first defecation, patient satisfaction concerning postoperative gum chewing, potential side effects of postoperative gum chewing, and potential effect of gum chewing on postoperative pain therapy.
RESULTS: One hundred seventy-nine patients were included in this trial. We found a significantly shorter interval between surgery and passage of first flatus in the intervention group compared with the control group (median 6.2 hours compared with 8.1 hours; P=.002) and a significantly higher rate of regular bowel sounds 3 hours (76% compared with 47%;P<.001) and 5 hours (91% compared with 78%; P=.01) after surgery. Fewer opioid analgetics were administered to patients allocated to the intervention group (P=.02). There was no significant difference in time to first defecation between groups (median 26.3 hours compared with 29.0 hours, P=.165). Gum chewing was well tolerated and well accepted by patients, and no intervention-related side effects were observed.
CONCLUSION: Gum chewing seems to have beneficial effects on bowel motility when used as an adjunct treatment in postoperative care after minimally invasive surgery. Gum chewing should be recommended to patients after gynecologic laparoscopic surgery.

Commentaires

Enregistrer un commentaire

Posts les plus consultés de ce blog

آفرینک | تماشای آنلاین انیمیشن و کارتون

Par
https://afarinak.com/tags/%D8%A7%D9%86%DB%8C%D9%85%DB%8C%D8%B4%D9%86-%D9%87%D8%A7%DB%8C-%D8%A8%D8%B1%D9%86%D8%AF%D9%87-%D8%A7%D8%B3%DA%A9%D8%A7%D8%B1/ https://afarinak.com/tags/%D9%BE%D8%B1%D9%81%D8%B1%D9%88%D8%B4%D8%AA%D8%B1%DB%8C%D9%86-%D8%A7%D9%86%DB%8C%D9%85%DB%8C%D8%B4%D9%86-%D9%87%D8%A7%DB%8C-2016/ https://afarinak.com/tags/best-animated-movies-2017/ https://tidano.com/ https://funibo.com/ http://www.aparat.com/afarinak https://t.me/joinchat/AAAAAD67ZyQn7_qBcGjPgw https://www.instagram.com/afarinak_com/ https://twitter.com/afarinak
Enregistrer un commentaire
Lire la suite

Go Macro Bars

Par
Go Macro Energy Bars - In fact, brown rice syrup weighs more than a lot of the opposite ingredients in these bars. So regardless that the bars comprise more oats and nuts by quantity, brown rice syrup must be listed first because it weighs more. As a side observe, I like firms that give again to society. I used to be given the opportunity to strive their three new bar flavors (despatched to me by GoMacro). It was also shocking, since these bars usually are not as candy as many other bars in the marketplace. Plus, a portion of the proceeds from their Everlasting Joy Bars goes towards feeding the homeless. It appears that evidently by regulation substances have to be listed so as of weight, and brown rice syrup could be very dense. And GoMacro selects one taste every quarter to highlight as their "Give Back Bar." They donate 10% of the gross sales of that bar to a non-revenue group. Nevertheless, I was concerned that brown rice syrup is the first ingredient in most o...
Enregistrer un commentaire
Lire la suite