Effects of Gum Chewing on Recovery of Bowel Function Following Benign Gynecologic Surgery

Study Overview
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Brief Summary
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Gum chewing can promotes the return bowel function after gynecologic surgery.

Detailed Description
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Following abdominal surgery for treatment of benign gynecologic surgery, paralytic ileus may be develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. This study will be evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complication, and patients's satisfaction.

Official Title
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Effects of Gum Chewing on Recovery of Bowel Function Following Benign Gynecologic Surgery: a Randomized Controlled Trial

Conditions
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Recovery of Bowel Function, Due to Gum Chewing

Intervention / Treatment
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* Behavioral: Gum chewing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing abdominal surgery for benign gynecologic conditions at Maharaj Nakorn Chiang Mai hospital Exclusion Criteria: Perioperative hyperalimentation Recent chemotherapy (within 3 weeks before surgery) Previous bowel surgery Inflammatory bowel disease Previous abdominal or pelvic radiation Need for immediate postoperative endotracheal intubation Need for postoperative admission to intensive care unit Undergoing emergency surgery with oral intake of fluid or food with in 4 hours before surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Gum Chewing<br>Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule | Behavioral: Gum chewing<br>* Gum chewing(30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in the addition to conventional postoperative feeding schedule<br>* Other names: Sugar free and calcium free gum;|
| No Intervention: Conventional<br>Conventional postoperative feeding schedule | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to first flatus |  | Up to 7 days after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence and severity of postoperative nausea, vomiting and abdominal discomfort |  | Up to 7 days after surgery | 
| Incidence of postoperative complications |  | Up to 7 days after surgery | 
| Time to first regular diet |  | Up to 7 days after surgery | 
| Time to first defecation |  | Up to 7 days after surgery | 
| Hospital stay |  | Up to 7 days after surgery | 
| Patients's satisfaction |  | Up to 7 days after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gum chewing, Bowel function, benign gynecologic surgery