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Gum Chewing for Stimulating Early Recovery of BowelFunction after Postoperative Benign Gynecologic Surgery:A Randomized Controlled Trial |
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| รหัสดีโอไอ | |
| Creator | Ekapob Nanthawong, M.D. |
| Title | Gum Chewing for Stimulating Early Recovery of BowelFunction after Postoperative Benign Gynecologic Surgery:A Randomized Controlled Trial |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 4 |
| Page no. | 247 |
| Keyword | Gum chewing, Benign gynecologic surgery, Postoperative bowel function, Laparotomy |
| ISSN | 0857-6084 |
| Abstract | Objectives: To compare gum chewing and routine postoperative care on recovery of bowel functionafter laparotomy for benign gynecologic surgery.Materials and Methods: Patients who underwent laparotomy for benign gynecologic diseases atKhon Kaen Hospital from May to August, 2015 were randomly allocated into 2 groups: gumchewing (n= 56) and control group (n= 56). Patients chewed sugarless gum for 15 minutes after6 hours postoperatively then every 4 hours until the fist passage of fltus and the control grouphad the routine postoperative care.Results: Chewing gum was a statistically signifiant in reducing time to fist fltus comparewith routine postoperative care (20.3 ? 8.4 vs 27.3 ? 7.9 hrs, mean difference 6.9 hrs; p < 0.001).Time to tolerate regular diet was also signifiantly shorter in chewing gum group (47.5 ? 10.8vs 49.4 ? 6.9 hr, mean difference 1.9 hr; p = 0.04). Postoperative vomiting was signifiantlyless in chewing gum group (13 (23.6%) vs 26; p = 0.002). There were no signifiant differencesbetween the groups in time to tolerate liquid diet, postoperative nausea, antiemetic drugrequirement and length of a hospital stay.Conclusion: Gum chewing associated with early recovery of bowel function in patients undergolaparotomy for benign gynecologic surgery. |
