Chewing gum: post-operative effect on women's recovery and bowel motility following gynecologicabdominal surgery

Abstract

Background: Ileus commonly happens post abdominal surgery and is associated with complication and may delay recovery. The study is hypothesized that chewing gum decreases postoperative ileus by improving early recovery of gastrointestinal function. Aim: The study aims to investigate the effect of chewing gum on the postoperative recovery of gastrointestinal function after gynecological and abdominal surgery. Methods; Design: A quasi-experimental research design. Setting: the study was conducted at the general surgery department, and gynecological department at the university hospital in El Fayoum city. Subjects: a purposive sample of 60 postoperative women. Tools: Data collection tool consists of structured interviewing schedule, post-operative assessment sheet, and patient satisfaction of using gum. Results there was significant difference between two groups according to patient's performance after surgery, also there was significant difference between two groups as regarding vomiting time, abdominal distention and amount of oral fluid intake. Conclusion: the study conclude that chewing gum is an accessible, effortless, safe, harmless, cheap, and effective method in declining ileus and accelerating gastrointestinal recovery after gynecological and abdominal surgery. Recommendations: Chewing sugar-free gum should be added in the protocol of nursing care after gynecological and abdominal surgery in the surgery units.

The effect of Cuminum cyminum on the return of bowel motility after abdominal surgery: a triple-blind randomized clinical trial

“…Huang et al, also concluded that the use of intravenous Dexmedetomidine accelerates the return of bowel motility after laparoscopic nephrectomy surgery [ 9 ]. Various studies have also confirmed the effect of chewing gum in improving the return of bowel motility [ 1 , 4 , 10 – 13 ]. However, in textbooks, there is no standard treatment for postoperative ileus, and currently, surgeons do not know any other standard method to suggest to patients other than reassurance about the return of bowel motility [ 3 ].…”

“…Bowel motility disorder after abdominal surgeries is the most common cause of delayed discharge of patients from the hospital [ 4 ]. The delay in the return of bowel motility, which is seen in almost half of the patients after surgery, is a nervous, hormonal, or medicinal process, and has various consequences such as abdominal distention, decreased bowel sounds, delayed gas passing and defecation, increased pain after surgery, delay in wound healing, nausea and vomiting, loss of appetite, and delay in starting oral feeding [ 4 , 5 ]. In addition to affecting the patient after surgery, this disorder also significantly increases the cost of healthcare systems [ 3 ].…”