Colorectal Surgery, Foeniculum, Ileus
Conditions
Keywords
Colorectal surgery, Foeniculum, Ileus
Brief summary
Chinese Medicine Ironing using Foeniculum vulgare has been applied in some departments to promote bowel function recovery, but the efficacy of ironing therapy remains uncertain after colorectal resection surgery.
Detailed description
Postoperative ileus is one of the most common complications after abdominal surgery. It refers to obstipation and intolerance of oral intake due to nonmechanical factors that disrupt the normal coordinated propulsive motor activity of the gastrointestinal tract following abdominal or nonabdominal surgery. When the expected period of gastrointestinal recovery time extends beyond what is acceptable, the patient is diagnosed as having a pathologic postoperative ileus (POI), which leads to patient discomfort, dissatisfaction, prolonged hospitalization and increased medical expenses. The incidence of POI is about 17%\ 24% after abdominal surgery. Chinese Medicine Ironing using Foeniculum vulgare has been applied in some departments to promote gastrointestinal function recovery as a empiric therapy. However, the definite efficacy of Foeniculum vulgare ironing therapy（FIT）is uncertain after colorectal resection surgery and whether FIT can reduce the incidence of POI remains unkonown.
Interventions
DRUGFoeniculum Vulgare Seed Ironing
Stir-fry 500 grams of Foeniculum vulgare seeds until the aroma overflows. Put them into a cotton bag. Ironing therapy put the bag on abdomen after the temperature is suitable, 30 minutes per time, twice daily on postoperative days 2 to 3. The medicine bag can be heated and reused after it cool down.
Sponsors
West China Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
1. Age: 18 \ 85 years old; sex is not limited. 2. Selective operation of colorectal partial resection. 3. Participants are volunteered to participate in this study, sign informed consent, and cooperated with follow-up.
Exclusion criteria
1. Emergency surgery. 2. Pregnant or lactating women. 3. ASA class 4 or 5 patients. 4. Patients with severe abdominal adhesions, which would cost more than 30 minutes to release. Patients with abdominal cocoon disease. 5. Patients with peritoneal metastasis or inflammatory bowel disease. 6. Patients undergoing enterostomy or total colectomy. 7. Patients simultaneously enrolled in any other competing clinical study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Flatus time | Up to 30 days after operation. | Time to faltus (hours from end of operation). Patients who had stool before any movement of gas were deemed to have an equal time to the time to flatus and first bowel movement. |
| Incidence of postoperative ileus | 4 days after operation | The same panel defined prolonged postoperative ileus as the occurrence of two or more of the following signs and symptoms on postoperative day 4 or after: Nausea or vomiting, Inability to tolerate an oral diet over the preceding 24 hours, Absence of flatus over the preceding 24 hours, Abdominal distention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of postoperative hospitalization | Up to 30 days after operation. | Postoperative days the patient was ready for hospital discharge based on Gastrointestinal function alone. |
| Pain assessment | During postoperative hospitalization, up to 30 days after operation. | Assess postoperative pain with the pain visual analogue scale. Rate the pain levels on a likert scale from 0 (no pain) to 10 (pain as bad as it could possibly be). |
| Nausea and appetite assessment | During postoperative hospitalization, up to 30 days after operation. | Rate their appetite and nausea levels on a likert scale from 0 (no appetite, nausea) to 10 (appetite as good as can be, nausea as bad as can be), and each score was recorded separately. |
| Toleration of a low-residue diet | Up to 30 days after operation. | Time (hours from end of operation) to tolerate a low-residue diet, defined as consuming \>50% of the meal without emesis for 24 hours (time recorded was the time when the patient ate \>50% of the meal). |
| Adverse events | Up to 30 days after operation. | Any adverse events possibly related to treatment with Foeniculum vulgare ironing. |
| Hospitalization costs | During postoperative hospitalization, up to 30 days after operation. | Postoperative in-patients costs |
| Short-term complications | Up to 30 days after operation. | Complications during the 30-day postoperative period |
| Toleration of drinking water | Up to 30 days after operation. | Time (hours from end of operation) to toleration of water. |
Countries
China
Outcome results
None listed