STUDY DESIGN: Randomized controlled trial. OBJECTIVE: This study investigated on the effectiveness of chewing gum on promoting @entity29 and its ability to hasten recovery for @entity1615 ( @entity1615 ) @entity1 following posterior spinal fusion (PSF) surgery. SUMMARY OF BACKGROUND DATA: Sham feeding with chewing gum had been reported to reducethe incidence of post-operative ileus by accelerating recovery of bowel function. METHODS: We prospectively recruited and randomized 60 @entity1615 @entity1 scheduled for PSF surgery into treatment (chewing gum) and control group.The @entity1 controlled anesthesia usage, wound @entity158 score, @entity490 score, @entity390 score and abdominal girth were assessed and recorded at 12, 24, 36, 48 and 60hours post-operatively. The timing for the first fluid intake, first oral intake, sitting up, walking, first flatus after surgery, first bowel opening after surgery and duration of hospital stay were also assessed and recorded. RESULTS: We found that there were no significant differences (p>0.05) @entity1 controlled anesthesia usage, wound @entity158 score, @entity490 score, @entity390 score and abdominal girth between treatment (chewing gum) and control groups. We also found that therewere no significant difference (p>0.05) in post-operative recovery parameters which were the first fluid intake, first oral intake, sitting up after surgery, walking after surgery, first flatus after surgery, first bowel opening after surgery and duration of hospital stay between both groups. The wound @entity158 was the worst at 12hours post-operatively which progressively improved in both groups. The @entity490 progressively worsened to the highest score at 48hours in the treatment group and 36hours in the control group before improving after that. The pattern of severity and recovery of wound @entity158 and @entity490 were different. CONCLUSIONS: We found that chewing gum did not significantly reduce the @entity490 or hasten @entity1 recovery. LEVEL OF EVIDENCE: 1.

The Usage of Chewing Gum in Posterior Spinal Fusion Surgery for XXXX : A Randomized Controlled Trial.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity1615 :: ('OMIM:181800', 'Disease') :: ['AIS', 'adolescent idiopathic scoliosis'] @entity29 :: ('MESH:D015212', 'Disease') :: ['faster bowel function'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain', 'abdominal pain, promote faster bowel function']
@entity1615 :: (OMIM:181800,Disease) :: ['Adolescent Idiopathic Scoliosis']
