Cogprints

Early Feeding After a Total Abdominal Hysterectomy

Flesher, Mary and Wagner, Brenda and Jones, Lyn (2009) Early Feeding After a Total Abdominal Hysterectomy. [Journal (On-line/Unpaginated)]

Full text available as:

[img]
Preview
 PDF - Published Version
145Kb

Abstract

Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestinal effects were made between the early fed group (n=82) and the traditionally fed group (n=82). Results: Both groups had the similar gastrointestinal symptoms postoperatively, but the early fed group had an earlier bowel movement. The early fed group had a statistically significant shorter length of stay. Similar usage of anti-nausea medication and pain medication usage was noted between the two groups, except for a lower usage of Tylenol #3 (acetaminophen with codeine) in the early fed group. Conclusions: This study found that early feeding could be tolerated well in TAH patients, with statistically significant improvements in usage of some pain medication and length of stay were noted in the early fed group.

Item Type:Journal (On-line/Unpaginated)
Keywords:Early feeding, Diet tolerance, Total abdominal hysterectomy
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6389
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:28 Mar 2009 09:32
Last Modified:11 Mar 2011 08:57

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1.Morris M, Burke TW. Surgery of the gastrointestinal tract in relation to gynecology. In: Gershenson DM, DeCherney AH, Curry SL, eds. Operative Gynecology 1993. Philadelphia: WB Saunders: 390-425.

2.Pearl ML, Frandina M, Mahler L, Valea FA, DiSilvestro PA, Chalas E. A randomized controlled trial of a regular diet as the first meal in gynecologic oncology patients undergoing intraabdominal surgery. Obstet Gynecol. 2002;100:230-234.

3.Pearl ML, Valea FA, Fischer M, Chalas E. A randomized controlled trial of postoperative nasogastric tube decompression in gynecologic oncology patients undergoing intraabdominal surgery. Obstet Gynecol. 1996;88:399-402.

4.Ghosh K, Downs LS, Padilla LA, Murray KP, Twiggs LB, Letourneau CM, Carson LF. The implementation of critical pathways in gynecologic oncology in a managed care setting: A cost analysis. Gynecol Oncol. 2001;83(2):378-382.

5.Fanning J, Andrew S. Early postoperative feeding after major gynecologic surgery: Evidence-based scientific medicine. Am J Obstet Gynecol. 2001;185(1):1-4.

6.Steed HL, Capstick V, Flood C, Shepansky A, Schulz J, Mayes DC. A randomized controlled trial of early versus “traditional” postoperative oral intake after major abdominal gynecologic surgery. Am J Obstet Gynecol. 2002;186(5):861-865.

7.MacMillan SL, Kammerer-Doak D, Rogers RG, Parker KM. Early feeding and the incidence of gastrointestinal symptoms after major gynecologic surgery. Obstet Gynecol. 2000;96(4):604-608.

8.Schidler JM, Hurteau JA, Look KY, Moore DH, Raff G, Stehman FB, Sutton GP. A prospective controlled trial of early postoperative oral intake following major abdominal gynecologic surgery. Gynecol Oncol. 1997;67(3):235-240.

9.Wu L, Griffith P. Early postoperative feeding and abdominal gynecological surgery. Br J Nurs. 2005;14(1):42-46.

10.Cutillo G, Maneschi F, Franchi M, Giannice R, Scambia G, Benedetti-Panici P. Early feeding compared with nasogastric decompression after major gynecologic surgery: A randomized study. Obstet Gynecol. 1999;93(1):41-45.

11.Kraus K, Fanning J. Prospective trial of early feeding and bowel stimulation after radical hysterectomy. Am J Obstet Gynecol. 2000;182(5):996-998.

12.Johnson C, Casto C, Krammer J, Drake J. Postoperative feeding: A clinical review. Obstet Gynecol Surv. 2000;55(9):571-573.

13.Martindale RG, Maerz LL. Management of perioperative nutrition support. Curr Opin Crit Care 2006;12(4):290-294

Metadata

Repository Staff Only: item control page

Cogprints is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.