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Early resumption of oral intake is feasible and safe in gynecologic oncology patients undergoing intestinal resection as part of a planned surgical procedure. Moreover, significant reduction in length of hospital stay was demonstrated.

The combined treatment showed effectiveness in a substantial proportion of patients with AEH and EC. Close follow-up during and after treatment is crucial.

On the basis of these findings, the policy of EOF should be used after a complex gynecologic oncologic laparotomy.

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Our study seems to demonstrate that a more extensive surgical approach is associated with prolonged disease-free interval and improved survival in patients with stages IIIC-IV epithelial ovarian and fallopian tube cancer. Moreover all patients with no residual tumor seem to have the best prognosis and in view of these results we believe that the goal of primary surgery should be considered as leaving no macroscopic disease.

Objective To evaluate the effect of early versus delayed feeding after caesarean section on the woman's satisfaction.Design Randomised, controlled trial.Setting Tertiary care hospital.Population Healthy pregnant women were enrolled for the study during antenatal care visits.Methods Uncomplicated singleton pregnancies undergoing a planned or intrapartum caesarean section performed under regional anaesthesia were randomly assigned to either (1) a 'delayed feeding' group who started oral fluids 4 hours after surgery with diet introduced at 24 hours; or (2) an 'early feeding' group who were offered a regular diet within the first 8 hours.Main outcome measures Primary outcome was the woman's satisfaction measured with a visual analogue scale (VAS) before their hospital discharge. The secondary outcomes were: pain, anorexia, abdominal distension, persistent nausea and/or vomiting, time to the first bowel movement and passage of flatus.Results Two hundred women were recruited, with 103 randomised to delayed feeding and 97 to early feeding. The woman's satisfaction (mean VAS ± SD) was similar in both groups; 73 ± 17 mm in the delayed feeding group and 77 ± 13 mm in the early feeding group (P = 0.12). A statistically significant difference was observed in mean postoperative pain: 29 ± 13 mm in the delayed feeding group versus 24 ± 11 mm in the early feeding group (P = 0.008). No other significant differences in postoperative variables were recorded, and there were no major postoperative complications observed in either group.Conclusion Early feeding after uncomplicated caesarean in low-risk women is equivalent in terms of the woman's satisfaction and the reduced perceived pain.