scholarly journals Gum chewing is associated with early recovery of bowel motility and shorter length of hospital stay for women after caesarean section

2014 ◽  
Vol 20 (1) ◽  
pp. 22-22
Author(s):  
Mario Lepore ◽  
J Edward Fitzgerald
Keyword(s):  
Caesarean Section ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Early Recovery ◽  
Bowel Motility ◽  
Gum Chewing

Effect of Chewing Gum on Bowel Motility in Women Undergoing Post-Operative Cesarean Section

2018 ◽  
Vol 3 (06) ◽  
Author(s):  
Dr.Randa Mohammed AboBaker
Keyword(s):  
Cesarean Section ◽  
Hospital Stay ◽  
Demographic Data ◽  
Length Of Hospital Stay ◽  
Chewing Gum ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Bowel Motility ◽  
Gum Chewing ◽  
Significant Difference

Postoperative Ileus (POI) is one of the most common problems after obstetrics, gynecologic and abdominal surgeries. Sham feeding, such as gum chewing, accelerates the return of bowel function and the length of hospital stay. The present study aims to evaluate the effect of chewing gum on bowel motility in women undergoing post-operative cesarean section. Intervention study was used at the Postpartum Department of Maternity and Children Hospital, KSA. A randomized controlled clinical trial research design. Through a convenience technique, 80 post Caesarian Section (CS) women were included in the study. Data were collected through three tools: Tool (I): Socio-demographic data and reproductive history interview schedule. Tool (II): Postoperative Assessment Sheet. Tool (III): Outcomes of gum chewing and the length of hospital stay.  Method: subjects were assigned randomly into two groups of (40) the experimental and (40) the control. Subjects in the study group were asked to chew two pieces of sugarless gum for 30 min/three times daily in the morning, noon, and evening immediately after recovery from anesthesia and in Postpartum Department; while subjects in the control group followed the hospital routine care. Each woman in both groups was tested abdominally using a stethoscope to auscultate the bowel sounds and asked to report immediately the time of either passing flatus or stool. Results: illustrated that a highly statistically significant difference was observed between the two groups concerning their gum chewing outcomes. Where, P = 0.000. The study concluded that gum chewing is safe, well tolerated and appears to be effective in reducing the incidence and consequences of POI following CS.

Effects of Gum-chewing on the Recovery of Bowel Motility and Length of Hospital Stay after Surgery for Colorectal Cancer

2010 ◽  
Vol 10 (2) ◽  
pp. 191 ◽  
Author(s):  
Sam Sook Kim ◽  
Eun Nam Lee ◽  
Hack Sun Kim ◽  
Min Kyoung Kim ◽  
Kyoung Sun Lee ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Bowel Motility ◽  
Gum Chewing

Gum chewing stimulates early return of bowel motility after caesarean section

2009 ◽  
Vol 117 (1) ◽  
pp. 117-118 ◽  
Author(s):  
KHI Abd-El-Maeboud ◽  
MI Ibrahim ◽  
DAA Shalaby ◽  
MF Fikry
Keyword(s):  
Caesarean Section ◽  
Bowel Motility ◽  
Gum Chewing ◽  
Early Return

scholarly journals Total laparoscopic pancreaticoduodenectomy in 26 patients: single surgeon experience

2021 ◽  
Vol 8 (2) ◽  
pp. 674
Author(s):  
Rajendra Bagree ◽  
Gaurav Jalendra ◽  
Pradeep Panwar ◽  
Veena Shukla ◽  
Hetish M. Reddy
Keyword(s):  
Hospital Stay ◽  
Open Surgery ◽  
Operative Time ◽  
Tumour Size ◽  
Length Of Hospital Stay ◽  
Resected Specimen ◽  
Laparoscopic Pancreaticoduodenectomy ◽  
Early Recovery ◽  
Promising Alternative ◽  
Surgeon Experience

Background: Total laparoscopic pancreaticoduodenectomy (TLPD) has become more feasible and preferred surgery for periampullary tumour. With the innovation of latest equipment and continuous learning curve, this has become more sophisticated and rampant, along the advantages of minimal invasive surgery.  Methods: We analysed data of all the 26 patients who underwent TLPD from October 2015 to November 2019. Preoperative haematological, liver function test, tumour marker, MRCP, triphasic CT, scan with pancreatic protocol, endoscopic ultrasound guided fine needle aspiration or brush cytology done for confirmation of diagnosis, nodal status and operability. Meticulously selected patients with periampullary carcinoma of tumour size≤2.5 cm included. Demographic data, operative time, length of hospital stay, post-operative complication and pathological analyses of resected specimen (en bloc) observed. Results: TLPD for periampullary tumours attempted in twenty-six patients among them six converted to open surgery. Patients were of both genders and mean age was 45 (27-60, SD7.4) years. The mean operative time was 353 SD 28.77 (306-420) minutes. Postoperatively, there were few complications and mean length of hospital stay was 11 (9-13 days) days. The histopathology revealed maximum no. of cholangiocarcinoma with negative margins and positive nodes in all the patients.Conclusions: TLPD is feasible, safe and promising alternative to the standard open surgery with expert hands. This has benefits of short hospital stay, less blood loss, cosmetic, early recovery with few complications. Short-term surgical outcomes are superior or comparable to open surgery.  

scholarly journals Safety and efficacy of video assisted thoracoscopic surgery for non-malignant pathologies: a prospective observational study

2021 ◽  
Vol 8 (2) ◽  
pp. 641
Author(s):  
Raj N. Gajbhiye ◽  
Bhupesh Harish Tirpude ◽  
Akshay Dhahiya ◽  
Vikrant Akulwar ◽  
Hemant Bhanarkar ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Thoracoscopic Surgery ◽  
Demographic Data ◽  
Length Of Hospital Stay ◽  
Early Recovery ◽  
Vats Lobectomy ◽  
Safety And Efficacy ◽  
Video Assisted ◽  
Thoracic Drainage ◽  
Hilar Dissection

Background: Video-assisted thoracic surgery (VATS) had been widely accepted because of its low complication rate, tolerable postoperative pain and early recovery of pulmonary function. Hence the present study was undertaken to assess safety and efficacy of VATS and also analyze the surgical outcomes of VATS procedures for non-malignant thoracic pathologies.Methods: A total of 32 patients with non-malignant pathologies of thorax to undergo VATS lobectomy and thoracotomy conversion cases initially approached by VATS lobectomy were enrolled. Demographic data and surgical information were noted and compare between infection and non-infection group. Primary outcomes were thoracotomy conversion rate, period of thoracic drainage, length of hospital stay, and complications.Results: The majority of patients were in the age group of 36-45 years (28.12%) with female predominance (62.50%). The commonest clinical presentation was hydropneumothorax (28.12%). Most common infective and non-infective aetiology was lung hydatid (28.12%) and benign nodule (18.75%) respectively. The commonest surgical procedures conducted using VATS were lobectomy (34.37%), and decortication (25%). The mean blood loss among the cases was 315.9±36.46 ml. Mean operative time was 157.18±12.37 minutes. Among 6.25% cases thoracotomy was conducted in view of difficult hilar dissection, while among 3.12% cases each of indistinct anatomy and bleeding. Mean duration of thoracic drainage was 6.78±1.69 days and mean hospital stay was 8.2±3.2 days. 6.25% cases had fatal complications while 21.87% cases had milder complications. Only one case recurred while 96.87% cases cured.Conclusions: VATS lobectomy for benign disease is feasible and effective in selected cases, regardless of the presence of infection.

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