The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

Open Access Macedonian Journal of Medical Sciences

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Title The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review
 
Creator Kusika, Nicko Pisceski
Hutagaol, Imelda E. B.
Yusuf, Muhammad
Suyanto, Suyanto
Tilusari, Shinta Puja
 
Subject Chewing gum
Gynecological laparoscopic surgery
Surgical recovery
Bowel recovery
 
Description BACKGROUND: Adverse post-operative complication of gynecological laparoscopic surgery, post-operative ileus, could be reduced by mimicking early post-operative oral feeding; however, the role of chewing gum is still lack evidence.


AIM: This study was conducted to assess chewing gum’s role in post-operative bowel recovery after gynecological laparoscopic surgery.


METHODS: This prospective clinical trial recruited 60 participants who had undergone gynecological laparoscopic surgery under general anesthesia. The study was conducted at Arifin Achmad Hospital, Riau Province, Indonesia, from January to April 2021. The patients were equally divided into two groups: Intervention (n = 30) and control (n = 30). They were asked to chew sugar-free gum every 2 h after the surgery (i.e. 5 times within 10 h post-surgery). Time of the first flatus and the first bowel sounds were recorded (i.e. 5 times of assessment within 10 h post-surgery). In addition, a literature review was conducted to add evidence of the role of chewing gum on postoperative bowel recovery after gynecological laparoscopic surgery.


RESULTS: Patients from both groups had a close age range (23–44-year-old versus 21–42-year-old). Our data suggested a significant difference in the time of the first flatus between the treatment and control group (15.95 h vs. 45.05 h), p < 0.001. The length of stay in the hospital among those from the treatment group was also significantly shorter compared to controls (15.50 h vs. 45.50 h), p < 0.001. The literature review of four updated randomized clinical trials suggests chewing gum in the early onset of first flatus and bowel movement.

CONCLUSION: Chewing gum following gynecological laparoscopic surgery could accelerate gastrointestinal recovery.
 
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
 
Date 2021-09-26
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://oamjms.eu/index.php/mjms/article/view/7133
10.3889/oamjms.2021.7133
 
Source Open Access Macedonian Journal of Medical Sciences; Vol. 9 No. B (2021): B - Clinical Sciences; 1123-1127
1857-9655
 
Language eng
 
Relation https://oamjms.eu/index.php/mjms/article/view/7133/6146
 
Rights Copyright (c) 2020 Nicko Pisceski Kusika, Imelda E. B. Hutagaol, Muhammad Yusuf, Suyanto Suyanto, Shinta Puja Tilusari (Author)
http://creativecommons.org/licenses/by-nc/4.0
 

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