Early Feeding After a Total Abdominal Hysterectomy

Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a c...

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Main Authors: Mary Flesher, Brenda Wagner, Lyn Jones
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2009-02-01
Series:Online Journal of Health & Allied Sciences
Subjects:
Online Access:http://www.ojhas.org/issue28/2008-4-2.htm
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author Mary Flesher
Brenda Wagner
Lyn Jones
author_facet Mary Flesher
Brenda Wagner
Lyn Jones
author_sort Mary Flesher
collection DOAJ
description Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestinal effects were made between the early fed group (n=82) and the traditionally fed group (n=82). Results: Both groups had the similar gastrointestinal symptoms postoperatively, but the early fed group had an earlier bowel movement. The early fed group had a statistically significant shorter length of stay. Similar usage of anti-nausea medication and pain medication usage was noted between the two groups, except for a lower usage of Tylenol #3 (acetaminophen with codeine) in the early fed group. Conclusions: This study found that early feeding could be tolerated well in TAH patients, with statistically significant improvements in usage of some pain medication and length of stay were noted in the early fed group.
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spelling doaj.art-1e1a4e2550804be2a99064eaf69f391d2022-12-22T03:20:47ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972009-02-0174Early Feeding After a Total Abdominal HysterectomyMary FlesherBrenda WagnerLyn JonesBackground: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestinal effects were made between the early fed group (n=82) and the traditionally fed group (n=82). Results: Both groups had the similar gastrointestinal symptoms postoperatively, but the early fed group had an earlier bowel movement. The early fed group had a statistically significant shorter length of stay. Similar usage of anti-nausea medication and pain medication usage was noted between the two groups, except for a lower usage of Tylenol #3 (acetaminophen with codeine) in the early fed group. Conclusions: This study found that early feeding could be tolerated well in TAH patients, with statistically significant improvements in usage of some pain medication and length of stay were noted in the early fed group.http://www.ojhas.org/issue28/2008-4-2.htmEarly feedingDiet toleranceTotal abdominal hysterectomy
spellingShingle Mary Flesher
Brenda Wagner
Lyn Jones
Early Feeding After a Total Abdominal Hysterectomy
Online Journal of Health & Allied Sciences
Early feeding
Diet tolerance
Total abdominal hysterectomy
title Early Feeding After a Total Abdominal Hysterectomy
title_full Early Feeding After a Total Abdominal Hysterectomy
title_fullStr Early Feeding After a Total Abdominal Hysterectomy
title_full_unstemmed Early Feeding After a Total Abdominal Hysterectomy
title_short Early Feeding After a Total Abdominal Hysterectomy
title_sort early feeding after a total abdominal hysterectomy
topic Early feeding
Diet tolerance
Total abdominal hysterectomy
url http://www.ojhas.org/issue28/2008-4-2.htm
work_keys_str_mv AT maryflesher earlyfeedingafteratotalabdominalhysterectomy
AT brendawagner earlyfeedingafteratotalabdominalhysterectomy
AT lynjones earlyfeedingafteratotalabdominalhysterectomy