Postoperative Gum Chewing After Gynecologic Laparoscopic Surgery

• DOI: 10.1097/aog.0b013e3182983e92
• Publication Date: 2013-06-06T11:34:37Z
• Authors: Heinrich Husslein; Maximilian Franz; Martina Gutschi; Christof Worda; Stephan Polterauer; Heinz Leipold
• Keywords: Chewing gum; Flatulence

To investigate the effect of postoperative gum chewing on bowel motility after laparoscopic gynecologic surgery.In this randomized controlled trial, patients were allocated to either every 2 hours for 15 minutes or standard care without chewing. The study's primary end points time first regular sounds and passage flatus surgery. Secondary operation defecation, patient satisfaction concerning chewing, potential side effects pain therapy.One hundred seventy-nine included in trial. We found a significantly shorter interval between surgery intervention group compared with control (median 6.2 8.1 hours; P=.002) higher rate 3 (76% 47%; P<.001) 5 (91% 78%; P=.01) Fewer opioid analgetics administered (P=.02). There was no significant difference defecation groups 26.3 29.0 hours, P=.165). Gum well tolerated accepted by patients, intervention-related observed.Gum seems have beneficial when used as an adjunct treatment minimally invasive should be recommended surgery.www.ClinicalTrials.gov, NCT 01549353.I.