scholarly journals Effect of chewing gum on the postoperative recovery of gastrointestinal function after gynaecological laparoscopic surgery

2018 ◽  
Vol 7 (2) ◽  
pp. 644
Author(s):  
Binti Bhatiyani ◽  
Pandeeswari . ◽  
Dolly Bhasani ◽  
Shrikant Dhumale
Keyword(s):  
Laparoscopic Surgery ◽  
Intervention Group ◽  
Postoperative Recovery ◽  
Chewing Gum ◽  
Control Group ◽  
End Points ◽  
Bowel Motility ◽  
Bowel Sounds ◽  
Gum Chewing ◽  
Significant Difference

Background: The incidence of postoperative ileus (POI) after gynaecological surgery is 10-15%. Chewing gum following general surgery improves outcomes, including early flatus, early bowel sounds, and shortening of the hospitalisation period. This study aims to investigate the effect of postoperative gum chewing on bowel motility after laparoscopic gynaecologic surgery.Methods: 101 women who underwent laparoscopic surgery for benign gynaecological conditions under general anaesthesia were recruited. 50 patients received sugar free chewing gum post operatively and the outcomes were compared with the control group. The study’s primary end points were the time to first regular bowel sounds and time to passage of flatus after surgery. Secondary end points were the time to first defecation, patient satisfaction, and potential side effects of postoperative gum chewing.Results: We found a significantly shorter interval between surgery and passage of flatus in the intervention group (median 10 hours compared with 13 hours p=0.0151) and a significantly higher rate of regular bowel sounds 3 hours (74% compared with 45%; p= 0.003) and 5 hours after surgery (91% compared with 78%; p=0.01). There was no significant difference in time to first defecation between groups (median 18 hours compared with 20 hours; p=0.222).Conclusions: Gum chewing seems to have beneficial effects on bowel motility when used in postoperative care after minimally invasive surgery. Gum chewing should be recommended to patients after gynaecological laparoscopic surgery

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.

Pengaruh mengunyah permen karet xylitol terhadap timbulnya motilitas usus pasca operasi dengan general anestesi

2021 ◽  
Vol 15 (1) ◽  
pp. 48-55
Author(s):  
Djunizar Djamaludin ◽  
Eka Yudha Chrisanto
Keyword(s):  
General Anesthesia ◽  
T Test ◽  
Chewing Gum ◽  
P Value ◽  
Bowel Motility ◽  
Bowel Sounds ◽  
Purposive Sampling ◽  
Gum Chewing ◽  
Post Test ◽  
Intestine Motility

Xylitol gum chewing to achieve early postoperative restoration of bowel motility after surgery under general anesthesiaBackground: The problem that is often encountered in the use of general anesthesia in major surgery is the Post-Operative Ileus (POI). POI is a temporary loss of gastrointestinal propulsion activity characterized by no sounding of bowel sounds and abdominal discomfort and distension. Providing nutrition oral or enteral  when bowel sounds begin to sound has a weakness where it was reported that in this intervention the incidence of bloating, nausea and vomiting was mostly experienced by patients who were intolerant of the presence of food in their stomach.Purpose: Knowing the effect of Xylitol gum chewing to achieve early postoperative restoration of bowel motility after surgery under general anesthesiaMethod: A quasi-experimental method with pre-test and post-test in two groups of 20 patients as participants at A. Dadi Tjokro Dipo Hospital Bandar Lampung City recruited and taken by purposive sampling technique, 10 participants as intervention group (treat by chewing xylitol gum) and other of 10 participants as control group.Results: Finding that by a treat of Xylitol gum chewing in postoperative restoration of bowel motility after surgery under general anesthesia took after 2.3 hours while the patients who did not chew xylitol gum occurred 6.8 hours. T-Test showed that p-value was 0.00 that indicated the p-value < 0.05.Conclusion: There was a difference in the occurring time of the intestine motility between control and experiment groups. It is gained that difference is 4.39 hours with p-value = 0.00 which indicated p < 0.05, that there was an effect of chewing gum containing xylitol on the occurrence of post-operative intestine motility after general anesthesia surgery at A Dadi Tjokor Dipo Hospital of Bandar Lampung City. The present study suggests chewing gum is an alternative method to stimulate intestine motility for early post-operation feeding as a low-cost, safe, and tolerable treatment when without contra indication.Keywords:  Xylitol gum chewing; Postoperative restoration; Bowel motility; Surgery; General anesthesiaPendahuluan: Masalah yang sering dijumpai dalam penggunaan general anestesi pada pembedahan mayor yaitu Post-Operative Ileus (POI). POI adalah hilangnya aktivitas daya dorong saluran cerna untuk sementara yang ditandai dengan tidak terdengarnya bising usus dan rasa tidak nyaman serta distensi abdomen. Memberikan nutrisi secara oral maupun enteral pada saat bising usus mulai terdengar merupakan memiliki kelemahan dimana dilaporkan bahwa pada intervensi ini kejadian kembung, mual dan muntah paling banyak dialami oleh pasien yang tidak toleran terhadap adanya makanan dalam lambungnyaTujuan: Diketahuinya pengaruh mengunyah permen yang mengandung xylitol terhadap timbulnya motilitas usus pada pasien pasca operasi dengan general anestesi.Metode: Penelitian eksperimen semu dengan pre-test dan post-test group. Jumlah pasien yang akan menjalani operasi elektif dengan menggunakan anestesi umum sebanyak 20 pasien di RSUD A. Dadi Tjokro Dipo Kota Bandar Lampung. Sampel diambil dengan teknik purposive sampling, 10 pasien pasca operasi mengunyah permen karet xylitol dan 10 pasien pasca operasi tidak mengunyah permen karet xylitol.Hasil: Didapatkan motilitas usus timbul 2,3 jam setelah mengunyah permen karet dan 6,8 jam bila tidak mengunyah. Hasil uji t-test  didapatkan bahwa p value=0,00 yang berarti nilai p<0,05.Simpulan: Terdapat perbedaan waktu timbulnya motilitas usus pada kelompok kontrol dan kelompok eskperimen sebesar 4,39 jam dan didapatkan nilai p=0,00 yang berarti nilai p<0,05 sehingga Ho ditolak. Oleh karena itu dapat disimpulkan bahwa ada pengaruh pemberian permen karet yang mengandung xylitol terhadap timbulnya motilitas usus pasca operasi dengan general anestesi di RSUD A. Dadi Tjokro Dipo Kota Bandar Lampung. Penelitian ini menunjukkan bahwa mengunyah permen karet adalah metode alternatif untuk merangsang motilitas usus untuk pemberian makan pasca operasi awal sebagai pengobatan yang berbiaya rendah, aman, dan dapat ditoleransi..

scholarly journals The Effects of Moderate Neuromuscular Blockade Combined with Transverse Abdominal Plane Block on Surgical Space Conditions During Laparoscopic Colorectal Surgery: A Randomised Clinical Study

2021 ◽  
Author(s):  
Fang Ke ◽  
Zijin Shen ◽  
Cheng Wu ◽  
Lin Zhang ◽  
Rong Dong
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Neuromuscular Blockade ◽  
Intervention Group ◽  
Ordinal Scale ◽  
Control Group ◽  
Sacral Promontory ◽  
Pain Scores ◽  
Significant Difference ◽  
Space Conditions

Abstract Background Deep neuromuscular blockade may be beneficial on surgical space conditions during laparoscopic surgery. The effects of moderate neuromuscular blockade combined with transverse abdominal plane block (TAPB) on the surgical space conditions during laparoscopic surgery has not been described. We investigated if moderate neuromuscular blockade combined with TAPB would be associated with similar surgical space conditions compared with deep neuromuscular blockade. Methods Eighty patients undergoing elective laparoscopic surgery for colorectal cancer were randomly divided into two groups. The intervention group was treated with moderate neuromuscular blockade (train-of-four (TOF) count between 1 and 3) combined with TAPB (M group), while the control group was treated with deep neuromuscular blockade (D group), with a TOF count of 0 and a post-tetanic count (PTC) ≥ 1. Both groups received the same anesthesia management. The distance between the sacral promontory and the umbilical skin during the operation was compared between the two groups. The surgeon scored the surgical space conditions according to a five-point ordinal scale. Patients’ pain scores were evaluated eight hours after the operation. Results The 95% confidence intervals of the difference in the distance from the sacral promontory to the umbilical skin between the groups were − 1.45–0.77cm. According to the preset non-inferior standard of 1.5cm, (-1.45, ∞) completely fell within (-1.50, ∞), and the non-inferior effect test was qualified. There was no significant difference in the surgical rating score between the two groups. The dosage of rocuronium in group D was significantly higher than that in group M (P < 0.01). The M group had significantly lower pain scores than the D group eight hours after the operation (P < 0.05). Conclusions In laparoscopic colorectal cancer surgery, moderate neuromuscular blockade combined with TAPB can provide surgical space conditions similar to those of deep neuromuscular blockade, and at the same time, reduces the use of muscle relaxants, relieves postoperative pain within 4 hours after operation, shorten the time to extubation and stay in PACU. Trial registration: chictr.org.cn (ChiCTR2000034621), registered on 12, July, 2020

scholarly journals The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

2021 ◽  
Vol 9 (B) ◽  
pp. 1123-1127
Author(s):  
Nicko Pisceski Kusika ◽  
Imelda E. B. Hutagaol ◽  
Muhammad Yusuf ◽  
Suyanto Suyanto ◽  
Shinta Puja Tilusari
Keyword(s):  
Laparoscopic Surgery ◽  
Literature Review ◽  
Oral Feeding ◽  
Chewing Gum ◽  
Control Group ◽  
Short Report ◽  
Post Surgery ◽  
Significant Difference ◽  
And Control

BACKGROUND: Adverse post-operative complication of gynecological laparoscopic surgery, post-operative ileus, could be reduced by mimicking early post-operative oral feeding; however, the role of chewing gum is still lack evidence. AIM: This study was conducted to assess chewing gum’s role in post-operative bowel recovery after gynecological laparoscopic surgery. METHODS: This prospective clinical trial recruited 60 participants who had undergone gynecological laparoscopic surgery under general anesthesia. The study was conducted at Arifin Achmad Hospital, Riau Province, Indonesia, from January to April 2021. The patients were equally divided into two groups: Intervention (n = 30) and control (n = 30). They were asked to chew sugar-free gum every 2 h after the surgery (i.e. 5 times within 10 h post-surgery). Time of the first flatus and the first bowel sounds were recorded (i.e. 5 times of assessment within 10 h post-surgery). In addition, a literature review was conducted to add evidence of the role of chewing gum on postoperative bowel recovery after gynecological laparoscopic surgery. RESULTS: Patients from both groups had a close age range (23–44-year-old versus 21–42-year-old). Our data suggested a significant difference in the time of the first flatus between the treatment and control group (15.95 h vs. 45.05 h), p < 0.001. The length of stay in the hospital among those from the treatment group was also significantly shorter compared to controls (15.50 h vs. 45.50 h), p < 0.001. The literature review of four updated randomized clinical trials suggests chewing gum in the early onset of first flatus and bowel movement. CONCLUSION: Chewing gum following gynecological laparoscopic surgery could accelerate gastrointestinal recovery.

scholarly journals Comparison of the effect of misoprostol and chewing gum on intestinal movements after Cesarean delivery

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Nazila Najdi ◽  
Alireza Kamali ◽  
Pegah Eslami
Keyword(s):  
Elective Cesarean Section ◽  
Chewing Gum ◽  
Control Group ◽  
Bowel Sound ◽  
Singleton Pregnancy ◽  
Significance Level ◽  
Normal Bowel ◽  
Positive Effects ◽  
Gum Chewing ◽  
Significant Difference

Introduction: cesarean is one of the major surgeries after which mother will need to be hospitalized for a long period of time. One of the leading causes of the increase in the duration of hospitalization of such patients is the surgeons’ projections about the development of ileus and defecation. Given the previous studies, misoprostol can increase bowel movements. Moreover, gum-chewing has been recommended as a cheap and available technique for accelerating the resumption of normal Intestinal Movements. Methods and materials: the present study is a single-blind randomized clinical trial which has been done on 324 women over 18 years of age with singleton pregnancy who had visited Taleghani Hospital in Arak and was elective cesarean section candidates. The surgery and anesthesia techniques were similar for all patients. These patients were randomized into three groups of 108, namely control, misoprostol, and gum-chewing groups. The patients in these three groups were compared with one another in terms of normal bowel sound, gas passage, defecation and discharge. Results: the results have shown the mean age of a total of 324 patients has been 26.66 years. The results suggest that the time of hearing the first normal bowel sound, the first gas passage, and defecation have been shorter in the misoprostol group, gum-chewing group and control group, respectively. The difference observed between the three groups has been significant at a 0.05 significance level. Furthermore, no significant difference was observed between the patients in the misoprostol and gum-chewing groups and the patients in the control group while reviewing the time of discharge of these patients. Conclusion: the findings have been indicative of the positive effects of the misoprostol and gum-chewing techniques on the intestinal function of patients and mothers’ breastfeeding. Also, it has been observed that using misoprostol can be more effective than chewing gum.

The Role of Xylitol Gum Chewing in Restoring Postoperative Bowel Activity After Cesarean Section

2015 ◽  
Vol 18 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Jian Tao Lee ◽  
Mei-Hui Hsieh ◽  
Po-Jen Cheng ◽  
Jr-Rung Lin
Keyword(s):  
Cesarean Section ◽  
Chewing Gum ◽  
Control Group ◽  
Bowel Sounds ◽  
Gum Chewing ◽  
Group A ◽  
The Times ◽  
Group B ◽  
Post Hoc

Aims: The goal of this study was to evaluate the effects of xylitol gum chewing on gastrointestinal recovery after cesarean section. Methods: Women who underwent cesarean section ( N = 120) were randomly allocated into Group A (xylitol gum), Group B (nonxylitol gum), or the control group (no chewing gum). Every 2 hr post-cesarean section and until first flatus, Groups A and B received two pellets of chewing gum and were asked to chew for 15 min. The times to first bowel sounds, first flatus, and first defecation were then compared among the three groups. Results: Group A had the shortest mean time to first bowel sounds (6.9 ± 1.7 hr), followed by Group B (8 ± 1.6 hr) and the control group (12.8 ± 2.5 hr; one-way analysis of variance, p < .001; Scheffe’s post hoc comparisons, p < .05). The gum-chewing groups demonstrated a faster return of flatus than the control group did ( p < .001), but the time to flatus did not differ significantly between the gum-chewing groups. Additionally, the differences in the time to first defecation were not significant. Conclusion: After cesarean section, chewing gum increased participants’ return of bowel activity, as measured by the appearance of bowel sounds and the passage of flatus. In this context, xylitol-containing gum may be superior to xylitol-free gum.

scholarly journals The Effects of Chewing Gum on Nausea, Vomiting, and Intestinal Functions of Surgical Patients

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Oznur Bayraktar ◽  
Adalet Kutlu
Keyword(s):  
Intervention Group ◽  
Bowel Function ◽  
Early Discharge ◽  
Surgical Patients ◽  
Chewing Gum ◽  
Control Group ◽  
Positive Effects ◽  
Significant Difference ◽  
Intestinal Functions ◽  
The Difference

Background: It is important to resume regular functions of the digestive system as soon as possible after surgery. It has been reported that chewing gum can be used in this regard. Objectives: This study aimed to evaluate the effect of chewing gum on nausea-vomiting and bowel function in surgical patients. Methods: A total of 60 patients with cholecystectomy and herniotomy (30 controls [non-chewing gum] and 30 interventions [chewing gum]) were enrolled in this controlled experimental study. The intervention group was provided to chew gum 3 times for 15 - 30 minutes with a 2-hour interval. Both control and intervention groups were evaluated 6 and 24 hours after being taken to the surgical service using the nausea-vomiting, intestinal functions monitoring form. Results: A statistically significant difference was found between the control and intervention groups 0 - 6 hours after surgery (χ2 = 4.320, P < 0.05). The intervention group was found to be discharged earlier than the control group (χ² = 4.286, P < 0.05; Z = -2.053, P < 0.05), and the difference was significant. It was found that the intervention group suffered 5.09 times less vomiting compared to the control group 0 - 6 hours after surgery. Conclusions: The positive effects of chewing gum on nausea, vomiting, intestinal function, and early discharge were found. It is recommended that chewing gum be included in nursing interventions for patients after surgery.

scholarly journals Effect of the Addition of Human Milk Fortifier to Breast Milk on the Early Recovery of Infants After Congenital Cardiac Surgery

2021 ◽  
Vol 9 ◽  
Author(s):  
Xian-Rong Yu ◽  
Wen-Peng Xie ◽  
Jian-Feng Liu ◽  
Li-Wen Wang ◽  
Hua Cao ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Breast Milk ◽  
Human Milk ◽  
Intervention Group ◽  
Postoperative Recovery ◽  
Control Group ◽  
Early Recovery ◽  
Congenital Cardiac Surgery ◽  
Significant Difference ◽  
Human Milk Fortifier

Objective: This article studied the effect of breast milk supplemented with human milk fortifier (HMF) on the early recovery of infants after congenital cardiac surgery.Methods: Infants undergoing congenital cardiac surgery were randomly divided into an intervention group (n = 27) and a control group (n = 27). Infants in the intervention group received HMF, and those in the control group were exclusively breastfed. The nutritional indicators at discharge, the postoperative recovery status, and nutritional-related complications were recorded.Results: Compared with the control group at the time of discharge, the weight and albumin and prealbumin levels of the intervention group were significantly increased (P &lt; 0.05). The length of hospital stay of the intervention group was significantly reduced compared with that of the control group (P &lt; 0.05). Although the length of ICU stay for the intervention group was shorter than that of the control group, the difference was not significant (P &gt; 0.05). No significant difference in the incidence of postoperative nutrition-related complications was noted between the two groups (P &gt; 0.05).Conclusion: Compared with breastfeeding alone, with HMF can improve postoperative weight gains, reduce the length of stay, and promote infants' early recovery after congenital cardiac surgery.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

TERAPI MUSIK DAN TINGKAT KECEMASAN PASIEN PREOPERASI

2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto
Keyword(s):  
Music Therapy ◽  
Intervention Group ◽  
Complementary Therapy ◽  
T Test ◽  
Anxiety Level ◽  
Preoperative Anxiety ◽  
Control Group ◽  
Music Intervention ◽  
Significant Difference ◽  
Anxiety Levels

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to 50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= - 1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: anxiety, preoperative, music therapy

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