Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy
One of the most common postoperative problems is nausea and vomiting. Although using some anesthetic materials has been considered as the mainstay of this phenomenon, the exact factors are not known. Because of several morbidities associated with postoperative nausea and vomiting (PONV), its prevent...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-07-01
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| Series: | Journal of Traditional and Complementary Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2225411017300706 |
| _version_ | 1811267941430198272 |
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| author | E. Soltani A. Jangjoo M. Afzal Aghaei A. Dalili |
| author_facet | E. Soltani A. Jangjoo M. Afzal Aghaei A. Dalili |
| author_sort | E. Soltani |
| collection | DOAJ |
| description | One of the most common postoperative problems is nausea and vomiting. Although using some anesthetic materials has been considered as the mainstay of this phenomenon, the exact factors are not known. Because of several morbidities associated with postoperative nausea and vomiting (PONV), its prevention and treatment has been a challenge for physicians, so several drugs have been recommended for this purpose. Based on the documented antiemetic specificity of ginger, we evaluated and compared the effects of preoperative administration of ginger on PONV with ondansetron administration as the standard medication. The participants included 100 patients with cholelitiasis who were candidate for laparoscopic cholecystectomy. Patients were divided into two groups: group A comprised 50 patients who received 500 mg oral ginger 1 h before surgery, and group B included 50 patients who received 4 mg intravenous ondansetron before completion of surgery. Antiemetic efficacy was assessed by visual analogue scale scores of nausea intensity at 0, 4, 8, 16, and 24 h after surgery and frequency of vomiting during the evaluation period. Although multifactor analysis showed that nausea severity was significantly lower in the ginger group, the data indicated that except 16 h after operation, the differences between two groups in the frequency of vomiting was not significant. In conclusion, though complementary studies are needed to have a strong suggestion, based on this study, we recommend administration of oral ginger 1 h before operation to control the severity of PONV in patients undergoing laparoscopic cholecystectomy. Keywords: Ginger (Zingiber officinale Roscoe), Postoperative nausea and vomiting, Cholecystectomy, Laparoscopic |
| first_indexed | 2024-04-12T21:11:59Z |
| format | Article |
| id | doaj.art-b2982aeef5054c4f82dc786d6aee1a9a |
| institution | Directory Open Access Journal |
| issn | 2225-4110 |
| language | English |
| last_indexed | 2024-04-12T21:11:59Z |
| publishDate | 2018-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Traditional and Complementary Medicine |
| spelling | doaj.art-b2982aeef5054c4f82dc786d6aee1a9a2022-12-22T03:16:34ZengElsevierJournal of Traditional and Complementary Medicine2225-41102018-07-0183387390Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomyE. Soltani0A. Jangjoo1M. Afzal Aghaei2A. Dalili3Acute Care Surgery Research Center, Department of General Surgery, Taleghani University Hospital, Mashhad University of Medical Sciences, Mashhad, IranSurgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Corresponding author. Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Epidemiology and Biostatistics, Faculty of Health Medicine, Mashhad University of Medical Sciences, Mashhad, IranSurgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, IranOne of the most common postoperative problems is nausea and vomiting. Although using some anesthetic materials has been considered as the mainstay of this phenomenon, the exact factors are not known. Because of several morbidities associated with postoperative nausea and vomiting (PONV), its prevention and treatment has been a challenge for physicians, so several drugs have been recommended for this purpose. Based on the documented antiemetic specificity of ginger, we evaluated and compared the effects of preoperative administration of ginger on PONV with ondansetron administration as the standard medication. The participants included 100 patients with cholelitiasis who were candidate for laparoscopic cholecystectomy. Patients were divided into two groups: group A comprised 50 patients who received 500 mg oral ginger 1 h before surgery, and group B included 50 patients who received 4 mg intravenous ondansetron before completion of surgery. Antiemetic efficacy was assessed by visual analogue scale scores of nausea intensity at 0, 4, 8, 16, and 24 h after surgery and frequency of vomiting during the evaluation period. Although multifactor analysis showed that nausea severity was significantly lower in the ginger group, the data indicated that except 16 h after operation, the differences between two groups in the frequency of vomiting was not significant. In conclusion, though complementary studies are needed to have a strong suggestion, based on this study, we recommend administration of oral ginger 1 h before operation to control the severity of PONV in patients undergoing laparoscopic cholecystectomy. Keywords: Ginger (Zingiber officinale Roscoe), Postoperative nausea and vomiting, Cholecystectomy, Laparoscopichttp://www.sciencedirect.com/science/article/pii/S2225411017300706 |
| spellingShingle | E. Soltani A. Jangjoo M. Afzal Aghaei A. Dalili Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy Journal of Traditional and Complementary Medicine |
| title | Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| title_full | Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| title_fullStr | Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| title_full_unstemmed | Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| title_short | Effects of preoperative administration of ginger (Zingiber officinale Roscoe) on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| title_sort | effects of preoperative administration of ginger zingiber officinale roscoe on postoperative nausea and vomiting after laparoscopic cholecystectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2225411017300706 |
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