Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study

OBJECTIVE: We aimed to assess the efficacy of gum chewing on intestinal functions after gynecological operations. STUDY DESIGN: A total of 86 women who underwent gynecological operation with different indications were randomly assigned to 2 groups: Group 1 was assigned to gum chewing after operation...

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Main Authors: Taylan Şenol, Mesut Polat, Enis Özkaya, Gökhan Ünver, Ateş Karateke
Format: Article
Language:English
Published: Medical Network 2016-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/156
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author Taylan Şenol
Mesut Polat
Enis Özkaya
Gökhan Ünver
Ateş Karateke
author_facet Taylan Şenol
Mesut Polat
Enis Özkaya
Gökhan Ünver
Ateş Karateke
author_sort Taylan Şenol
collection DOAJ
description OBJECTIVE: We aimed to assess the efficacy of gum chewing on intestinal functions after gynecological operations. STUDY DESIGN: A total of 86 women who underwent gynecological operation with different indications were randomly assigned to 2 groups: Group 1 was assigned to gum chewing after operation (n=52), while Group 2 was directed to routine postoperative care (n=52). Time of first bowel sound and defecation after surgery were recorded to assess the effect of gum chewing. Operation time, blood loss, type of incision, pre and postoperative serum hemoglobin levels were all evaluated. RESULTS: There was no difference between groups in terms of age, duration of operation, intraoperative blood loss, pre and postoperative serum hemoglobin levels, duration to first bowel sound, flatulence and defecation (p>0.05). Age (r=0.234, p=0.032), type of incision (r=0.228, p=0.037) were significantly correlated with the time to first bowel sound. Type of incision (r=0.295, p=0.006), duration of operation (r=0.277, p=0.01) and intraoperative blood loss (r=0.298, p=0.006) were significantly correlated with the time to first flatulence. In multivariate regression analyses, none of the variables were found to be significant parameter for time to first bowel sound (p>0.05). CONCLUSION: Gum chewing does not affect some of the gastrointestinal functions after gynecological operations and there is no single parameter for time to first bowel sound, first flatulence and first defecation, individual surgical and medical condition differences should be kept in mind while evaluating intestinal functions.
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spelling doaj.art-0181ed1d2070415e97514bbd79bd18222023-02-15T16:19:47ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-12-0122316016410.21613/GORM.2016.156553Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled StudyTaylan Şenol0Mesut Polat1Enis Özkaya2Gökhan Ünver3Ateş Karateke4Zeynep Kamil Training and Research Hospital Obstetric and Gynecology Department, İstanbulZeynep Kamil Training and Research Hospital Obstetric and Gynecology Department, İstanbulZeynep Kamil Training and Research Hospital Obstetric and Gynecology Department, İstanbulZeynep Kamil Training and Research Hospital Obstetric and Gynecology Department, İstanbulZeynep Kamil Training and Research Hospital Obstetric and Gynecology Department, İstanbulOBJECTIVE: We aimed to assess the efficacy of gum chewing on intestinal functions after gynecological operations. STUDY DESIGN: A total of 86 women who underwent gynecological operation with different indications were randomly assigned to 2 groups: Group 1 was assigned to gum chewing after operation (n=52), while Group 2 was directed to routine postoperative care (n=52). Time of first bowel sound and defecation after surgery were recorded to assess the effect of gum chewing. Operation time, blood loss, type of incision, pre and postoperative serum hemoglobin levels were all evaluated. RESULTS: There was no difference between groups in terms of age, duration of operation, intraoperative blood loss, pre and postoperative serum hemoglobin levels, duration to first bowel sound, flatulence and defecation (p>0.05). Age (r=0.234, p=0.032), type of incision (r=0.228, p=0.037) were significantly correlated with the time to first bowel sound. Type of incision (r=0.295, p=0.006), duration of operation (r=0.277, p=0.01) and intraoperative blood loss (r=0.298, p=0.006) were significantly correlated with the time to first flatulence. In multivariate regression analyses, none of the variables were found to be significant parameter for time to first bowel sound (p>0.05). CONCLUSION: Gum chewing does not affect some of the gastrointestinal functions after gynecological operations and there is no single parameter for time to first bowel sound, first flatulence and first defecation, individual surgical and medical condition differences should be kept in mind while evaluating intestinal functions.http://gorm.com.tr/index.php/GORM/article/view/156Gum chewing, Bowel function, Gynecological operations
spellingShingle Taylan Şenol
Mesut Polat
Enis Özkaya
Gökhan Ünver
Ateş Karateke
Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
Gynecology Obstetrics & Reproductive Medicine
Gum chewing, Bowel function, Gynecological operations
title Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
title_full Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
title_fullStr Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
title_full_unstemmed Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
title_short Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study
title_sort effect of gum chewing on intestinal functions after gynecological operations a randomized controlled study
topic Gum chewing, Bowel function, Gynecological operations
url http://gorm.com.tr/index.php/GORM/article/view/156
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AT mesutpolat effectofgumchewingonintestinalfunctionsaftergynecologicaloperationsarandomizedcontrolledstudy
AT enisozkaya effectofgumchewingonintestinalfunctionsaftergynecologicaloperationsarandomizedcontrolledstudy
AT gokhanunver effectofgumchewingonintestinalfunctionsaftergynecologicaloperationsarandomizedcontrolledstudy
AT ateskarateke effectofgumchewingonintestinalfunctionsaftergynecologicaloperationsarandomizedcontrolledstudy