A randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery.
Int J Gynaecol Obstet
; 127(3): 279-82, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-25147092
ABSTRACT
OBJECTIVE:
To assess whether chewing gum prevents postoperative ileus after laparotomy for benign gynecologic surgery.METHODS:
A randomized study was conducted from December 1, 2010, to February 29, 2012. Patients scheduled to undergo laparotomy were randomly assigned to receive chewing gum or routine care after surgery. A chart review was performed to establish incidence of nausea and vomiting, use of antiemetics, cases of postoperative ileus (≥2 episodes of emesis of 100 mL or more, with abdominal distention and absence of bowel sounds), and time to discharge. Inpatient surveys recorded the time to specific events.RESULTS:
A total of 109 patients were randomly assigned to receive chewing gum (n=51) or routine postoperative care (n=58). Fewer participants assigned to receive chewing gum than routine care experienced postoperative nausea (16 [31.4%] versus 29 [50.0%]; P=0.049) and postoperative ileus (0 vs. 5 [8.6%]; P=0.032). There were no differences in the need for postoperative antiemetics, episodes of postoperative vomiting, readmissions, repeat surgeries, time to first hunger, time to toleration of clear liquids, time to regular diet, time to first flatus, or time to discharge.CONCLUSION:
Chewing gum after laparotomy for gynecologic surgery is safe and lowers the incidence of postoperative ileus and nausea. ClinicalTrials.govNCT01579175.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
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Goma de Mascar
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Náusea e Vômito Pós-Operatórios
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Íleus
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Laparotomia
Tipo de estudo:
Clinical_trials
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Etiology_studies
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Incidence_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2014
Tipo de documento:
Article