Jacques Balayla1, Emmanuel Bujold2, Louise Lapensée3, Marie-Hélène Mayrand4, Andrée Sansregret5. 1. 1 Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Université de Montréal, Montreal QC. 2. Department of Obstetrics and Gynecology, Faculty of Medicine, Université Laval, Quebec QC. 3. Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Université de Montréal, Montreal QC; Departments of Obstetrics and Gynecology and Social and Preventive Medicine, Université de Montréal and Centre de Recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montreal QC. 4. Departments of Obstetrics and Gynecology and Social and Preventive Medicine, Université de Montréal and Centre de Recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montreal QC. 5. Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Université de Montréal, Montreal QC.
Abstract
OBJECTIVE: To compare early versus delayed postoperative feeding in women undergoing major gynaecological surgery with regard to clinical outcomes, duration of postoperative stay, and patient satisfaction. METHODS: We conducted a parallel-randomized controlled trial at a tertiary care centre in Montreal, Quebec, between June 2000 and July 2001. Patients undergoing major gynaecological surgery were randomized following a 1:1 allocation ratio to receive either early postoperative feeding in which oral clear fluids were begun up to six hours after surgery followed by solid foods as tolerated, or delayed postoperative feeding, in which clear fluids were begun on the first postoperative day and solid foods on the second or third day as tolerated. The primary outcomes analyzed were duration of postoperative stay and patient satisfaction. Secondary outcomes included mean time to appetite, passage of flatus, and bowel movement, as well as the presence of symptoms of paralytic ileus. RESULTS:A total of 119 patients were randomized; 61 patients were assigned to the early feeding group and 58 to the delayed feeding group. Demographic characteristics, including age, weight, smoking status, and prior surgical history were comparable between both groups. There was no difference in length of postoperative stay between the two groups (86.4 ± 21.0 hours in the early feeding group vs. 85.6 ± 26.2 hours in the delayed feeding group; P > 0.05). No significant difference was noted in patient satisfaction (P > 0.05). No difference was found in the frequency of postoperative ileus, mean time to appetite, passage of flatus, or first bowel movement. CONCLUSION: The introduction of early postoperative feeding appears to be safe and well tolerated by patients undergoing major gynaecological surgery. The duration of postoperative stay, patient satisfaction, and gastrointestinal symptoms are comparable between patients undergoing early or delayed postoperative feeding.
RCT Entities:
OBJECTIVE: To compare early versus delayed postoperative feeding in women undergoing major gynaecological surgery with regard to clinical outcomes, duration of postoperative stay, and patient satisfaction. METHODS: We conducted a parallel-randomized controlled trial at a tertiary care centre in Montreal, Quebec, between June 2000 and July 2001. Patients undergoing major gynaecological surgery were randomized following a 1:1 allocation ratio to receive either early postoperative feeding in which oral clear fluids were begun up to six hours after surgery followed by solid foods as tolerated, or delayed postoperative feeding, in which clear fluids were begun on the first postoperative day and solid foods on the second or third day as tolerated. The primary outcomes analyzed were duration of postoperative stay and patient satisfaction. Secondary outcomes included mean time to appetite, passage of flatus, and bowel movement, as well as the presence of symptoms of paralytic ileus. RESULTS: A total of 119 patients were randomized; 61 patients were assigned to the early feeding group and 58 to the delayed feeding group. Demographic characteristics, including age, weight, smoking status, and prior surgical history were comparable between both groups. There was no difference in length of postoperative stay between the two groups (86.4 ± 21.0 hours in the early feeding group vs. 85.6 ± 26.2 hours in the delayed feeding group; P > 0.05). No significant difference was noted in patient satisfaction (P > 0.05). No difference was found in the frequency of postoperative ileus, mean time to appetite, passage of flatus, or first bowel movement. CONCLUSION: The introduction of early postoperative feeding appears to be safe and well tolerated by patients undergoing major gynaecological surgery. The duration of postoperative stay, patient satisfaction, and gastrointestinal symptoms are comparable between patients undergoing early or delayed postoperative feeding.
Entities:
Keywords:
early postoperative feeding; length of postoperative stay; major gynaecologic surgery; patient satisfaction
Authors: Ho Chiou Yi; Zuriati Ibrahim; Zalina Abu Zaid; Zulfitri 'Azuan Mat Daud; Nor Baizura Md Yusop; Jamil Omar; Mohd Norazam Mohd Abas; Zuwariah Abdul Rahman; Norshariza Jamhuri Journal: Nutrients Date: 2020-01-20 Impact factor: 5.717