Effects of Gum Chewing on Recovery of Bowel Function Following Benign Gynecologic Surgery: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Phase 2
- Sponsor
- Chiang Mai University
- Enrollment
- 124
- Locations
- 1
- Primary Endpoint
- Time to first flatus
Study Overview
Brief Summary
Gum chewing can promotes the return bowel function after gynecologic surgery.
Detailed Description
Following abdominal surgery for treatment of benign gynecologic surgery, paralytic ileus may be develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. This study will be evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complication, and patients's satisfaction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients undergoing abdominal surgery for benign gynecologic conditions at Maharaj Nakorn Chiang Mai hospital
Exclusion Criteria
- •Perioperative hyperalimentation
- •Recent chemotherapy (within 3 weeks before surgery)
- •Previous bowel surgery
- •Inflammatory bowel disease
- •Previous abdominal or pelvic radiation
- •Need for immediate postoperative endotracheal intubation
- •Need for postoperative admission to intensive care unit
- •Undergoing emergency surgery with oral intake of fluid or food with in 4 hours before surgery
Arms & Interventions
Gum Chewing
Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule
Intervention: Gum chewing (Behavioral)
Conventional
Conventional postoperative feeding schedule
Outcomes
Primary Outcomes
Time to first flatus
Time Frame: Up to 7 days after surgery
Secondary Outcomes
- Time to first defecation(Up to 7 days after surgery)
- Hospital stay(Up to 7 days after surgery)
- Patients's satisfaction(Up to 7 days after surgery)
- Incidence and severity of postoperative nausea, vomiting and abdominal discomfort(Up to 7 days after surgery)
- Incidence of postoperative complications(Up to 7 days after surgery)
- Time to first regular diet(Up to 7 days after surgery)