Ignite Creation Date:
2024-05-06 @ 7:57 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06196138
Status:
RECRUITING
Last Update Posted:
2024-03-07
First Post:
2023-12-22
Brief Title:
The Effect of Chewing Gum and Hot Compresses on Gynecologic Oncologic Surgery
Sponsor:
Istanbul Medeniyet University
Organization:
Istanbul Medeniyet University
Study Overview
Official Title:
The Effect of Chewing Gum and Hot Compresses on Postoperative Pain Bowel Function and Patient Comfort After Gynecologic Oncologic Surgery a Randomized Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The passage discusses the recovery of gastrointestinal GI function after abdominal surgery and the potential impact on patient comfort After surgery small bowel activity typically returns to normal within a few hours gastric activity within 24-48 hours and colonic activity within 48-72 hours However the delayed mobility of the GI system postoperatively can lead to issues such as abdominal bloating nausea vomiting and pain These symptoms can negatively affect patient comfort leading to increased post-operative pain decreased mobility reduced satisfaction and a longer hospital stay Therefore interventions that expedite the normalization of bowel activity are crucial Chewing is suggested to stimulate intestinal motility by activating the cephalovagal pathway which influences neurogenic and hormonal factors regulating GI functions Postoperative heat application aims to prevent hypothermia enhance bodily functions and potentially promote bowel motility by stimulating somatic nerves The study explores the effects of gum chewing and hot application protocols on postoperative pain bowel function and patient comfort after gynecologic oncologic surgery It aims to contribute valuable insights to the existing literature on postoperative outcomes
Detailed Description:
After abdominal surgery small bowel activity returns to normal within a few hours gastric activity within 24-48 hours and colonic activity within 48-72 hours Due to the delayed mobility of the gastrointestinal GI system in the postoperative period gas and secretions accumulated in the stomach and intestines cause abdominal bloating nausea vomiting and pain negatively impacting patient comfort This can lead to increased post-operative pain decreased post-operative mobility decreased patient satisfaction and prolonged hospital stay Therefore procedures that shorten the time to normalization of bowel activity in the postoperative period are very important Chewing stimulates intestinal motility in humans The chewing mechanism is thought to work by stimulating the cephalovagal pathway Stimulation of the cephalovagal pathway stimulates various neurogenic and hormonal factors that modulate the functions of the gastrointestinal tract Problems related to decreased intestinal motility after minimally invasive surgery can cause postoperative side effects due to delayed recovery of GI function The basic rationale of postoperative heat application is to prevent the development of hypothermia during and after surgery by regionally warming the patients body eliminating the slowing effect of hypothermia and helping to activate bodily functions early It has been suggested that heat application may reflexively promote bowel motility by stimulating somatic nerves via the supraspinal or spinal cord and it has been demonstrated that stimulation of warm receptors in the skin with heat may reflexly inhibit sympathetic nerves and promote parasympathetic nerve activity in the bowel as a supraspinal and spinal reflex There are few studies in the literature examining the effect of chewing gum and heat application on postoperative outcomes after gynecologic oncologic surgery No study was found that compared the two applications This study was designed to compare the effects of gum chewing and hot application protocols on postoperative pain bowel function and patient comfort after gynecologic oncologic surgery It is believed that this study will make an important contribution to the literature
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None