Effects of Gum Chewing on Early Postoperative Recovery After Laparoscopic Cholecystectomy Surgery: a Randomized Controll
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ORIGINAL ARTICLE
Effects of Gum Chewing on Early Postoperative Recovery After Laparoscopic Cholecystectomy Surgery: a Randomized Controlled Trial Ozge Bengu Urcanoglu 1 & Tulin Yildiz 1 Received: 19 May 2020 / Accepted: 9 October 2020 # Association of Surgeons of India 2020
Abstract In the early postoperative period after laparoscopic surgery, most patients experience decreased bowel activity and abdominal pain. Gum chewing can increase bowel movements through cephalic-vagal stimulation as a fake nutrition method and thus prevent ileus. This study aimed to investigate the effects of gum chewing on early postoperative recovery after laparoscopic cholecystectomy surgery. A total of 106 patients, who underwent the laparoscopic cholecystectomy surgery between April 2015 and April 2016, were randomized to the experimental and control groups. Patients in the experimental group chewed gum for 20 min at the 2nd, 4th, 6th, and 8th hours after the surgery. The time to the first flatulence, defecation, mobilization and discharge, and postoperative pain level were recorded. In comparison with the control group, the experimental group had significantly shorter times to flatulence, defecation mobilization, discharge, and less pain (p = .001 for all). In conclusion, postoperative gum chewing has a beneficial effect on the parameters of early postoperative recovery after laparoscopic cholecystectomy surgery. Keywords Laparoscopic cholecystectomy . Intestinal motility . Early mobilization . Postoperative pain . Early discharge
Background Surgical applications have changed over the years, and traditional approaches to the treatment of surgical diseases have been replaced by minimally invasive endoscopic methods. Laparoscopic cholecystectomy, which has become attractive with the application of technological advances in the field of health, is accepted as the first treatment method to be chosen for the treatment of cholelithiasis [1]. In the early period after laparoscopic surgery, most patients experience abdominal pain. This postoperative pain is usually a visceral origin pain due to surgical manipulation and irritation of dissolved CO2 gas in the abdomen. A less common component of pain is the somatic type of pain that arises from incisions originating from the entry points of the trocars into the abdominal wall. In addition, the visceral component causes shoulder pain due to the type and location of biliary colic pain in 1/3 of the patients [2].
* Tulin Yildiz [email protected] 1
Department of Surgical Diseases Nursing, Institute of Health Sciences, Tekirdag Namık Kemal University, Tekirdag, Turkey
After abdominal surgery, small bowel and stomach activity begins between 12th and 24th hours, normal colon activity begins between 48th and 72nd hours, and patients are generally unable to pass intestinal gas between 12th and 36th hours and experience abdominal distention [3]. Since abdominal distension continues for a long time after surgery, delay in wound healing due to increased pressure in the incision area, thrombosis du
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