Clinical trial NCT05135416: The Impact of Chewing Gum on Postoperative Bowel Activity and Postoperative Pain After Total Laparoscopic Hysterectomy
Official title: The Impact of Chewing Gum on Postoperative Bowel Activity and Postoperative Pain After Total Laparoscopic Hysterectomy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postoperative Pain
Keywords: Pain
Total Laparoscopic Hysterectomy Surgery
Bowel Functions
Chewing Gum
Nursing
Lead sponsor: Kanuni Sultan Suleyman Training and Research Hospital
Sponsor class: OTHER
First posted: 2021-11-26
Enrollment: 92
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: crossover assignment
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Surgical interventions, such as restoring the health of patients and eliminating their existing symptoms, the surgical process can have many negative effects on the patient. In order to minimize these complications, the Accelerated Recovery Protocol After Surgery (ERAS) has also found widespread use in obstetric surgery. The ERAS protocol consists of different evidence-based practices at each stage, before, during, and after surgery. Stool and gas extraction, especially colorectal reported that chewing gum has a positive impact on the time/ can be used after pelvic surgical procedures, perioperative care guide contains reported in ERAS protocols, evidence-based, inexpensive, easily applied, and easily tolerated a practice that is emphasized.

Detailed description: Surgical interventions, such as restoring the health of patients and eliminating their existing symptoms, the surgical process can have many negative effects on the patient. In order to minimize these complications, the Accelerated Recovery Protocol After Surgery (ERAS) has also found widespread use in obstetric surgery. The ERAS protocol consists of different evidence-based practices at each stage, before, during, and after surgery. Stool and gas extraction, especially colorectal reported that chewing gum has a positive impact on the time/ can be used after pelvic surgical procedures, perioperative care guide contains reported in ERAS protocols, evidence-based, inexpensive, easily applied, and easily tolerated a practice that is emphasized. Different studies have been conducted to determine the effect of chewing gum on intestinal peristalsis. Intestinal sounds and defecation of chewing gum after cesarean section surgery. A limited number of studies on patients with total laparoscopic hysterectomy exist on this topic.

Eligibility criteria: Inclusion Criteria:

* Total laparoscopic hysterectomy is the most common type of hysterectomy.,

  * Who is literate,
  * over 18 years old,
  * The body mass index is dec 18.50-24.99 kg/m2,
  * Able to communicate, no language problems.
  * No history of allergies,
  * Who volunteered to participate in the study and received my approval,
  * No complications during the operation,
  * With a patient who is not diagnosed with a mental and psychiatric illness

Exclusion Criteria:

* Who can not adapt to the treatment process,

  * Developing postoperative complications,
  * Chemotherapy - receiving radiation therapy therapy,
  * With epilepsy disease,
  * With any history of allergies,
  * A history of dental and gum diseases, with difficulty chewing,
  * With a problem of the mucous membrane inside the mouth,
  * Using drugs that can affect bowel function due to systemic diseases,
  * Patients with a mental disability or a perception problem

Primary outcomes:
measure: Change of the postoperative baseline bowel activity (bowel sounds) at the first 6 hours postoperative pain after total laparoscopic hysterectomy
timeFrame: within postoperative first 6 hours, three times per 2 hours
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Kanuni Sultan Süleyman Training and Research Hospital
state: Küçükçekmece
Study officials:
affiliation: Saglik Bilimleri Universitesi
name: Melike Dissiz, Professor
role: STUDY_CHAIR
References: