Dextrose administration may reduce the incidence of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double blind randomized controlled trial

Salman, Nevriye; Aykut, Aslıhan; Sabuncu, Ülkü; Şaylan, Alev; Yağar, Seyhan; Şekerci, Sumru

doi:10.23736/s0375-9393.20.13484-9

Cited by 4 publications

(1 citation statement)

References 33 publications

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“…Intra‐abdominal pressure was maintained between 8 and 12 mmHg. Patients received Ringer's lactate solution infusion in the pre‐ and intraoperative periods at a rate of 10 mL/kg/h [20]. This was continued after surgery until oral fluid intake was allowed.…”

Section: Methodsmentioning

confidence: 99%

Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

Zhang

Li²,

Liu³

et al. 2023

World j. surg.

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Background Facilitating the recurrence of spontaneous voiding is considered to be a way to prevent urinary retention after surgery, which is of great importance in cholecystectomy. This study aimed to assess the effect of transcutaneous electrical acupoint stimulation (TEAS) on spontaneous voiding recovery after laparoscopic cholecystectom. Methods Participants who underwent elective laparoscopic cholecystectomy were randomly assigned to either the TEAS group or the sham group. Active TEAS or sham TEAS at specific acupuncture points was conducted intraoperatively and postoperatively. The primary outcome was the recovery speed of spontaneous voiding ability after surgery and secondary outcomes included postoperative urinary retention (POUR), voiding dysfunction, pain, anxiety and depression, and early recovery after surgery. Results A total of 1,948 participants were recruited and randomized to TEAS (n = 975) or sham (n = 973) between August 2018 and June 2020. TEAS shortens the time delay of the first spontaneous voiding after laparoscopic cholecystectomy (5.6 h [IQR, 3.7-8.1 h] in the TEAS group vs 7.0 h [IQR, 4.7-9.7 h] in the sham group) (p \ 0.001). The TEAS group experienced less POUR (p = 0.020), less voiding difficulty (p \ 0.001), less anxiety and depression (p \ 0.001), reduced pain (p = 0.007), and earlier ambulation (p = 0.01) than the sham group. Conclusions Our results showed that TEAS is an effective approach to accelerate the recovery of spontaneous voiding and reduce POUR which facilitates recovery for patients after laparoscopic cholecystectomy.Yan-Fang Zhang and Xiang-Yun Li have contributed equally to this work.

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Section: Methodsmentioning

confidence: 99%

Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

Zhang

Li²,

Liu³

et al. 2023

World j. surg.

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Modified enhanced recovery after surgery protocol in patients with acute cholecystitis: efficacy, safety and feasibility. Multicenter randomized control study

et al. 2021

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Assessing and reducing severity of perioperative stress response to emergency surgery in patients with acute cholecystitis

et al. 2023

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Ïðîãðàììà óñêîðåííîãî âîññòàíîâëåíèÿ â ãåïàòîïàíêðåàòîáèëèàðíîé õèðóðãèè Enhanced recovery program in hepatopancreatobiliary surgeryЦель. Изучить возможность оценки и уменьшения периоперационной стрессовой реакции в экстренной хирургии у больных острым холециститом. Материал и методы. С января 2017 г. по январь 2019 г. набрано 207 пациентов с острым холециститом. Пациентов случайным образом распределили на группы. В основной группе применяли методы ускоренной реабилитации. Для изучения уровня периоперационной стрессовой реакции и выявления биохимических предикторов осложнений острого холецистита измеряли уровень кортизола и интерлейкина 6. Результаты. Число послеоперационных осложнений между группами статистически значимо не различалось. Продолжительность послеоперационного пребывания в основной группе была меньше (33,3 ± 19,6 и 53,7 ± 32,7 ч; р < 0,0001). В течение 24 ч после операции 54,5% пациентов основной группы и 19,8% пациентов контрольной группы были выписаны. Ранняя активизация и энтеральное питание позволили сократить сроки возвращения физической активности и перехода к привычной диете в основной группе. Также в ней отмечена меньшая частота послеоперационной боли в плече и (или) шее: 12 (13,6%) по сравнению с 35 (34,7%) наблюдениями. Применение протокола ускоренной реабилитации не оказало значимого влияния на уровень кортизола после операции в основной группе. Заключение. У оперированных пациентов с острым холециститом ускоренная реабилитация позволяет улучшить качество послеоперационного периода: уменьшаются сила и частота послеоперационной боли, френикус-синдрома, симптомов диспепсии. Применение методов ускоренной реабилитации позволяет сократить срок госпитализации без увеличения частоты осложнений и повторных госпитализаций.

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Dextrose administration may reduce the incidence of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double blind randomized controlled trial

Cited by 4 publications

References 33 publications

Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

Modified enhanced recovery after surgery protocol in patients with acute cholecystitis: efficacy, safety and feasibility. Multicenter randomized control study

Assessing and reducing severity of perioperative stress response to emergency surgery in patients with acute cholecystitis

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