Postoperative Ileus Clinical Trial
Official title:
Coffee Consumption for Intestinal Function Recovery After Laparoscopic Gynecologic Surgery: a Randomized Controlled Trial
Minimally invasive surgery (MIS) has revolutionized women's healthcare. Laparoscopy is an
excellent route of MIS. Today, laparoscopic surgery is one of the major procedure in the
management of a gynecologic disease. It has revealed benefits of decreased morbidity, earlier
discharged, and quicker return to normal daily activities, and shorter hospital when compared
to abdominal approach.
Postoperative ileus (POI) defined as an uncomplicated ileus occurring following surgery,
resolving spontaneously within 2 to 3 days. Clinically, it is characterized by abdominal
distension, a lack of bowel sounds, nausea, vomiting, stomach cramps, and lack of flatus. It
leads to morbidity and delays in patient discharge from the hospital, leading to an increased
economic burden on the healthcare system. That's why many researchers have focused on the
prevent of postoperative ileus; many studies have investigated preventive approaches such as
early mobilization of the patient, adequate pain control, epidural anaesthesia, hot pack
therapy, motility agents such as metoclopramide, and alvimopan. Although POI incidence has
lower after the laparoscopic surgery it remains a major problem during the postoperative
period.
Recent studies demonstrated that coffee consumption is associated with improved
gastrointestinal function without worsening of postoperative morbidity for both open and
laparoscopic surgery. However, until now, no studies investigating the effect of
postoperative coffee consumption at laparoscopic gynecologic surgery. Therefore, the
investigators performed a randomized controlled trial to assess whether coffee consumption
accelerates the recovery of bowel function after laparoscopic gynecologic surgery.
n/a
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