The Effect of Postoperative Gum Chewing on Gastrointestinal Function Following Laparoscopic Gynecological Surgery. A Meta-analysis of Randomized Controlled Trials

医学 排便 荟萃分析 置信区间 随机对照试验 胃肠功能 科克伦图书馆 肠功能 子群分析 相对风险 妇科手术 腹腔镜检查 口香糖 外科 内科学 食品科学 化学
作者
Athanasios Douligeris,Michail Diakosavvas,Nikolaos Kathopoulis,Konstantinos Kypriotis,Anastasia Mortaki,Kyveli Angelou,Ioannis Chatzipapas,Αθανάσιος Πρωτόπαπας
出处
期刊:Journal of Minimally Invasive Gynecology [Elsevier BV]
卷期号:30 (10): 783-796 被引量:1
标识
DOI:10.1016/j.jmig.2023.06.015
摘要

To assess the effect of postoperative gum chewing on gastrointestinal function in women following laparoscopic gynecological surgery for benign indications.We screened 5 major databases (Medline, Scopus, Google Scholar, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov) from inception till February 2023.No language restrictions were applied. We included randomized controlled trials comparing the postoperative bowel function between patients who chewed and patients who did not chew gum postoperatively after laparoscopic gynecological procedures for benign indications.Data from 5 studies on 670 patients were extracted and analyzed by 3 independent reviewers. Meta-analysis was performed with RevMan 5.4 software (Copenhagen: The Nordic Cochrane Center, The Cochrane Collaboration, 2020), with mean differences (MDs), pooled risk ratios, and random-effects model. Postoperative gum chewing significantly reduced the time to first bowel sounds and the time to first passage of flatus (MD -2.58 hours 95% confidence interval (CI) -4.12 to -1.04 p = .001 and MD -3.97 hours 95% CI -6.26 to -1.68 p <.001, respectively). The time to first defecation, the time to first postoperative patients' mobilization, the length of hospital stay, and the risk of postoperative bowel obstruction showed no statistically significant difference between the 2 groups. When subgroup analysis was performed according to the type of the laparoscopic procedure, it failed to reveal a positive impact of postoperative gum chewing in both the times to first passage of flatus and first defecation following laparoscopic hysterectomies (MD -5.35 hours 95% CI -10.93 to 0.23 p = .06 and MD -15.93 hours 95% CI -40.13 to 8.28 p = .20, respectively).The results of the present meta-analysis support that postoperative gum chewing following laparoscopic gynecological procedures seems to have a positive effect on the early mobilization of the gastrointestinal tract. However, these results should be interpreted with caution due to the small number of the included randomized controlled clinical trials.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Anyixx完成签到 ,获得积分10
1秒前
清爽尔安发布了新的文献求助10
3秒前
4秒前
丫丫发布了新的文献求助10
5秒前
huangyikun发布了新的文献求助10
5秒前
叔铭完成签到,获得积分10
6秒前
大个应助ZONG采纳,获得10
8秒前
8秒前
Ma完成签到,获得积分10
9秒前
孙燕应助猪猪hero采纳,获得10
9秒前
会发光的小灰灰完成签到,获得积分10
9秒前
板凳儿cc发布了新的文献求助10
9秒前
黑色天使发布了新的文献求助10
10秒前
10秒前
激情的代曼完成签到,获得积分10
10秒前
11秒前
14秒前
缓慢手机完成签到,获得积分10
14秒前
丫丫完成签到,获得积分10
14秒前
15秒前
时尚俊驰发布了新的文献求助10
15秒前
耍酷的冷雪完成签到,获得积分10
16秒前
wanci应助baonali采纳,获得10
18秒前
ZONG发布了新的文献求助10
19秒前
wuy发布了新的文献求助10
19秒前
123完成签到,获得积分10
20秒前
21秒前
saisyo发布了新的文献求助10
22秒前
隐形曼青应助炸胡娃娃采纳,获得30
23秒前
坦率白萱应助wwl采纳,获得10
23秒前
NexusExplorer应助小晓采纳,获得10
23秒前
24秒前
24秒前
123发布了新的文献求助10
25秒前
搞怪的紫易完成签到,获得积分10
25秒前
WYQ完成签到,获得积分10
25秒前
幸福大白发布了新的文献求助10
27秒前
玩命的凝天完成签到,获得积分10
27秒前
量子星尘发布了新的文献求助10
27秒前
zxq1996完成签到 ,获得积分10
27秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989444
求助须知:如何正确求助?哪些是违规求助? 3531531
关于积分的说明 11254250
捐赠科研通 3270191
什么是DOI,文献DOI怎么找? 1804901
邀请新用户注册赠送积分活动 882105
科研通“疑难数据库(出版商)”最低求助积分说明 809174