Postoperative bowel ileus in complete staging surgery in gynecologic malignancies chewing gum complete staging surgery gynecologic malignancies Postoperative bowel ileus gastrointestinal mobility gastrointestinal function
Conditions
Interventions
Group A will receive the chewing sugar-free gum (Xylitol) the next day after surgery every 4 hours. Continuous chewing one piece of gum lasts for 15 minutes by continuous natural rhythm chewing of pa
Sponsors
Khon Kaen hospital
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Patients aged 18 years old or more 2.Female undergoing complete surgical staging in gynecologic malignancies which are endometrial cancer, ovarian cancer and other e.g. peritoneal cancer (Total abdominal hysterectomy with bilateral salpingo-oophorectomy with bilateral pelvic lymph node dissection with omentectomy with peritoneal washing with or without paraaortic dissection with or without peritoneal biopsy) 3.Good consciousness 4.Patient who can communicate in Thai fluently
Exclusion criteria
Exclusion criteria: 1.Patients who are unable to chew, on removable dental prostheses, severe dental caries, or severe loose teeth 2.Mint allergy 3.Xylitol allergy 4.Poor Cognitive function 5.Risk of choking or dysphagia 6.Major bowel surgery e.g. history of end to end anastomosis bowel, colostomy 7.Chronic diseases requiring anti-cholinergic drugs for treatment e.g. chronic 8.bstructive pulmonary disease, Parkinson disease, irritable bowel syndrome and psychiatric disorder 9.Need of intensive care unit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of first flatus duration from the end of surgery to time of passing first flatus time (hours) | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of first defecation duration from the end of surgery to time of passing first flatus time (hours),post-operative nausea from the end of surgery until discharge n (%),post-operative vomiting from the end of surgery until discharge n (%),Additional analgesics from the end of surgery until discharge n (%),Additional anti- emetic from the end of surgery until discharge n (%) | — |
Countries
Thailand
Contacts
Public ContactPattarapapa Tomuen
Khon Kaen hospital
Outcome results
None listed