Postoperative Chewing Gum and Gynecological Laparoscopic Surgery

Kanuni Sultan Suleyman Training and Research Hospital

Status

Completed

Conditions

Paralytic Ileus

Postoperative Ileus

Gynecologic Disease

Treatments

Other: chewing gum

Study type

Interventional

Funder types

Other

Identifiers

NCT03884244

2018.10.21

Details and patient eligibility

About

The authors aimed to evaluate the effects of postoperative gum chewing on laparoscopic gynecological surgery, gastrointestinal function-intestinal mobility and early postoperative recovery. Patients undergoing elective gynecological laparoscopy were randomized. Demographic and characteristic features of the patients were recorded. Operation type, operation and anesthesia information were recorded. Patients underwent a postoperative routine regimen. Starting from the sixth hour, the sugar-free gum was crushed every 15 minutes until the gas was released. Postoperative follow-up was performed routinely. The first bowel movements, first bowel movements and first gas extraction and first decongestation periods were recorded.

Full description

The team of the research team of the research team will listen and record the bowel sounds of the patients, using a stethoscope every two hours starting from the postoperative 3rd hour until the first bowel sounds are heard in each patient.

Patients who were able to tolerate patients starting from the 8th hour after the surgery were allowed for mobilization. Also, they were allowed to take fluid regimen from the postoperative 12th hour. Patient satisfaction was evaluated by using visual analogue scale (VAS) on the day of discharge on chewing postoperative.

The primary index for the return of GI functions was the first gas removal time. Secondary index was the time of first bowel sound, the first time of admission, hospitalization time and the presence of postoperative ileus.

Enrollment

200 patients

Sex

Female

Ages

40 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients undergoing elective laparoscopic gynecological surgery.

Exclusion criteria

Those who have been operated for malignant reasons,
Those who underwent emergency surgery,
Who could not chew gum,
Who had serious surgical complications (postoperative intraabdominal hemorrhage, infection, peritonitis),
Who had a history of gastrointestinal disease,
Secondary laparotomy.