Preoperative Oral Carbohydrate Loading in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial.
J Minim Invasive Gynecol
; 28(5): 1086-1094.e1, 2021 05.
Article
em En
| MEDLINE
| ID: mdl-33310170
ABSTRACT
STUDY OBJECTIVE:
To determine whether carbohydrate loading improves the postoperative quality of recovery (QoR) better than the midnight fasting policy in laparoscopic gynecologic surgeries.DESIGN:
Randomized, parallel-group trial.SETTING:
Tertiary university hospital. PATIENTS Female patients scheduled for laparoscopic gynecologic surgery for nonmalignant gynecologic diseases.INTERVENTIONS:
Eighty-eight women were randomly assigned to the midnight fasting group (nil per os, NPO group) or the carbohydrate loading group (carbohydrate group). Patients in both groups adhered to the enhanced recovery after surgery protocol except for carbohydrate intake in the carbohydrate group. MEASUREMENTS AND MAINRESULTS:
The postoperative QoR was evaluated using the QoR 15-item questionnaire on postoperative day 2. The times to readiness for discharge of the groups were compared. The QoR 15-item questionnaire scores were 97.7 ± 23.0 in the NPO group and 99.6 ± 22.4 in the carbohydrate group; they were not statistically different (pâ¯=â¯.702). The times to readiness for discharge of both groups were also not different 36.8 ± 12.2 hours in the NPO group and 37.6 ± 11.8 hours in the carbohydrate group (pâ¯=â¯.684).CONCLUSION:
The benefit of carbohydrate beverage intake was not significant in laparoscopic gynecologic surgeries when following the enhanced recovery after surgery protocol.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Doenças dos Genitais Femininos
Tipo de estudo:
Clinical_trials
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Minim Invasive Gynecol
Assunto da revista:
GINECOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article