Recovery of Bowel Function, Due to Gum Chewing
Conditions
Keywords
Gum chewing, Bowel function, benign gynecologic surgery
Brief summary
Gum chewing can promotes the return bowel function after gynecologic surgery.
Detailed description
Following abdominal surgery for treatment of benign gynecologic surgery, paralytic ileus may be develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. This study will be evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complication, and patients's satisfaction.
Interventions
Gum chewing(30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in the addition to conventional postoperative feeding schedule
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing abdominal surgery for benign gynecologic conditions at Maharaj Nakorn Chiang Mai hospital
Exclusion criteria
* Perioperative hyperalimentation * Recent chemotherapy (within 3 weeks before surgery) * Previous bowel surgery * Inflammatory bowel disease * Previous abdominal or pelvic radiation * Need for immediate postoperative endotracheal intubation * Need for postoperative admission to intensive care unit * Undergoing emergency surgery with oral intake of fluid or food with in 4 hours before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first flatus | Up to 7 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Incidence and severity of postoperative nausea, vomiting and abdominal discomfort | Up to 7 days after surgery |
| Incidence of postoperative complications | Up to 7 days after surgery |
| Time to first regular diet | Up to 7 days after surgery |
| Time to first defecation | Up to 7 days after surgery |
| Hospital stay | Up to 7 days after surgery |
| Patients's satisfaction | Up to 7 days after surgery |
Countries
Thailand