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Effect of Preoperative Walking Exercise on Postoperative Bowel Function in Patients with Major Gynecological Surgery: A randomized clinical trial |
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| รหัสดีโอไอ | |
| Creator | Aticha Patinavin |
| Title | Effect of Preoperative Walking Exercise on Postoperative Bowel Function in Patients with Major Gynecological Surgery: A randomized clinical trial |
| Contributor | Yuthana Khongthip |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2567 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 32 |
| Journal No. | 1 |
| Page no. | 57-67 |
| Keyword | preoperative exercise, walking, postoperative, ileus, bowel function |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To investigate the relationship between preoperative walking exercise and postoperative bowel function in patients undergoing major gynecological surgery. Materials and Methods: This randomized trial was conducted between July 2022 and January 2023 and included patients who underwent major gynecological surgery. All patients received a standard of care followed by enhanced recovery after surgery protocols. In addition, patients in the exercise group performed 30 minutes of mild intensity walking exercise (at 30% of their maximal heart rate) twice before surgery.Results: Of the 42 enrolled patients, 17 and 18 patients from the exercise and control group were analyzed, respectively. There were no significant differences in characteristics between the groups. Time to first tolerance of an oral diet did not differ significantly between the groups (22.0 ? 5.9 hours in the exercise group vs 26.3 ? 10.3 hours in the control group, p = 0.144), and neither did time to first achievement of normoactive bowel sound or length of hospital stay. However, patients with an estimated blood loss greater than 1,000 mL had benefit from the intervention, with a shorter time required to tolerate an oral diet (20.0 ? 1.4 hours vs 45.5 ? 3.5 hours, p = 0.011). Conclusion: There is still insufficient data to encourage routine preoperative walking exercise before surgery in patients with benign gynecological conditions. However, preoperative walking exercise may be beneficial for patients who are at high risk of extensive blood loss during surgery. |
