Postoperative Chewing Gum and Gynecological Laparoscopic Surgery

Postoperative Ileus Clinical Trial

Official title:

The Effect of Postoperative Chewing Gum on Intestinal Functions After Gynecological Laparoscopic Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03884244
• Other study ID #: 2018.10.21
• Status: Completed
• Phase: N/A
• Start date: March 1, 2018
• Est. completion date: March 1, 2019

Study information

• Verified date: March 2019
• Source: Kanuni Sultan Suleyman Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The authors aimed to evaluate the effects of postoperative gum chewing on laparoscopic gynecological surgery, gastrointestinal function-intestinal mobility and early postoperative recovery. Patients undergoing elective gynecological laparoscopy were randomized. Demographic and characteristic features of the patients were recorded. Operation type, operation and anesthesia information were recorded. Patients underwent a postoperative routine regimen. Starting from the sixth hour, the sugar-free gum was crushed every 15 minutes until the gas was released. Postoperative follow-up was performed routinely. The first bowel movements, first bowel movements and first gas extraction and first decongestation periods were recorded.

Description:

The team of the research team of the research team will listen and record the bowel sounds of the patients, using a stethoscope every two hours starting from the postoperative 3rd hour until the first bowel sounds are heard in each patient.

Patients who were able to tolerate patients starting from the 8th hour after the surgery were allowed for mobilization. Also, they were allowed to take fluid regimen from the postoperative 12th hour. Patient satisfaction was evaluated by using visual analogue scale (VAS) on the day of discharge on chewing postoperative.

The primary index for the return of GI functions was the first gas removal time. Secondary index was the time of first bowel sound, the first time of admission, hospitalization time and the presence of postoperative ileus.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: March 1, 2019
• Est. primary completion date: March 1, 2019
• Accepts healthy volunteers: No
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients undergoing elective laparoscopic gynecological surgery.

Exclusion Criteria:

• Those who have been operated for malignant reasons,

• Those who underwent emergency surgery,

• Who could not chew gum,

• Who had serious surgical complications (postoperative intraabdominal hemorrhage, infection, peritonitis),

• Who had a history of gastrointestinal disease,

• Secondary laparotomy.

Related Conditions & MeSH terms

• Genital Diseases, Female
• Gynecologic Disease
• Ileus
• Intestinal Pseudo-Obstruction
• Paralytic Ileus
• Postoperative Ileus

Intervention

Other:
• chewing gum
The group who take chewing gum after operation

Locations

Country	Name	City	State
Turkey	Pinar Kadirogullari	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Kanuni Sultan Suleyman Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative Bowel Functions	The Effect of Postoperative Chewing Gum on Intestinal Functions after Gynecological Laparoscopic Surgery ; The primary index for the return of GI functions was the first gas removal time. Patient first extraction of gas, recorded in minutes.	Postoperative first 1440 minutes