The Efficacy of Chewing Gum in Postoperative Ileus Management After Robot Assisted Laparoscopic Radical Prostatectomy: A Prospective Randomized Study

Year 2020, , 96 - 101, 31.03.2020

İbrahim Karabulut , Ali Haydar Yılmaz , Fatih Yılmazel

https://doi.org/10.16899/jcm.656495

Abstract

Aim:To examine the efficacy of chewing gum on bowel motility in the early postoperative period in patients with prostate cancer undergoing robot-assisted laparoscopic prostatectomy (RALP) we prepared this study.
Materials and Methods:The study was obtained from the local ethics committee. A total of 67 patients who underwent general anaesthesia were included in the study. Patients were divided into two groups as chewing gum group (Group G) and the control group (Group C). In the postoperative period, the patients in the Group G were chewed gum in the postoperative period. Bowel function improvement was inspected. The study was terminated at the first gas passage occurred. This time interval was noted. Demographic datas, intraoperative parameters, surgical results were analysed and compared. The first time of bowel movement, length of hospitalisation, and surgical wound site pain and abdominal pain intensity according to the Visual Analogue Scale (VAS) were recorded at the 12th 24th and 36th postoperative hours.
Results:At the end of the study, 23 patients in the Group C and 25 patients in Group G were evaluated. There was no significant difference in demographic datas between the groups. No statistically significant difference was observed in all intraoperative parameters. First bowel movements and postoperative abdominal and surgical wound site pain at the 24th and 36th hours were significantly lower in Group G compared to Group C.
Conclusions:This study indicated that chewing gum is also efficient in early solution of postoperative ileus.

Keywords

Chewing Gum, , Prostate Cancer, , Paralitic İleus, , Robotic Surgery

Robot Yardımlı Laparoskopik Radikal Prostatektomi Sonrası Oluşan Fizyolojik İleus Yönetiminde Sakız Çiğnemenin Etkinliği

Abstract

Amaç: Major ürolojik cerrahi sonrası görülen ileus, hasta iyileşmesini geciktirebilir . Biz bu çalışmamızda kliniğimizde prostat kanseri nedeni ile robot yardımlı laparoskopik prostatektomi (RALP) uygulanan hastalarda postoperatif erken dönemde sakız çiğnemenin bağırsak hareketliliği üzerindeki etkinliğinin araştırılmasını amaçladık.
Gereç ve Yöntem: Çalışma öncesi yerel etik kuruldan onam alındı. Çalışmaya toplam 67 hasta dahil edildi. Hastalar rastgele kontrol grubu (Grup C) ve çalışma grubu (Grup G) olarak iki gruba ayrıldı. Çalışma grubunda ki hastalara postoperatif dönemde sakız çiğnetildi. Bağırsak fonksiyon iyileşmesi incelendi. Çalışma ilk gaz geçişinde sonlandırıldı. Bu zaman aralığı kaydedildi. Demografik veriler, intraoperatif parametreler, cerrahi sonuçlar analiz edildi ve karşılaştırıldı. Ameliyat sonrası 12. ve 24. saatlerde barsak hareketinin ilk zamanı, hastanede kalış süresi ve cerrahi yara bölgesi ağrısı ve karın ağrısı kaydedildi.
Bulgular: Çalışma grubundaki hastaların yaş ortalaması 60,56 ± 6,07 yıl, kontrol grubundaki hastaların ise 60.26 ± 6.87 yıl olarak ölçüldü. Çalışmanın sonunda grup C de 23 hasta, grup G de 25 hasta değerlendirildi. Gruplar arasında demografik verilerde anlamlı fark yoktu. Perioperatif parametrelerde her iki grup arasında anlamlı bir fark gözlemlenmedi. İlk bağırsak hareketleri , postoperatif karın ve yara bölgesi ağrısı 24. ve 36. saatler de grup G lehine anlamlı derecede istatistiksel fark tespit edildi.
Sonuç: Bu çalışma sakız çiğnemenin postoperatif ileusun erken dönemde çözümlenmesinde etkili olduğunu göstermiştir.

Keywords

Sakız, prostat kanseri, Paralitik İleus, Robotik Cerrahi

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