Müberra KALEM NAMLI, Hasan KAFALI, Nermin KÖŞÜŞ, Aydın KÖŞÜŞ, Deniz HIZLI, Zeynep KAMALAK, Banu AKÇAL

Jinekolojik Operasyonlarda Postoperatif İleusu Önlemek İçin Tuhaf Bir Yol: Sakız Çiğneme

Amaç: Bu çalışmanın amacı sakız çiğnemenin total abdominal histerektomive bilateral salpingo- ooferektomi ameliyatından sonra bağırsak fonksiyonlarının geri dönüşünde etkisi olup olmadığının değerlendirilmesidir. Ayrıca postoperatif ve analjezik ve antiemetik ihtiyacı da değerlendirildi.Gereç ve Yöntemler: Çalışmaya 98 hasta katıldı; çalışma grubunda sakız çiğneyen 54 %55.1 hasta, kontrol grubunda sakız çiğnemeyen 44 %44.9 hasta mevcuttu.Çalışma grubuna ameliyat sonrası günde 6 kez ve her seferinde en az yarım saat sakız çiğnemeleri söylendi. Ameliyat sonrası dönemde gaz çıkarana kadar geçen süre, ilk barsak hareketleri oluşana kadar geçen süre, hastaların analjezik ve antiemetik ihtiyaçları ve hastanede kalış süreleri değerlendirildi.Bulgular: Sakız çiğneyen grupta gaz çıkarana kadar geçen süre ortalama 7 saat, kontrol grubunda ortalama 9 saat olarak bulunmuştur, iki grup arasında gaz çıkarma sürelerinde anlamlı farklılık saptanmıştır. Bağırsak seslerinin tespit edilmesi sakız çiğneyen grupta kontrol grubuna göre daha erken olmuştur. Çalışma grubunda postoperative 8.saatte 53 %98.1 hastada bağırsak sesleri aktifken, kontrol grubunda bu sayı 23 %52.3 olarak bulundu.Sonuç: Jinekolojik operasyonlardan sonra sakız çiğnemenin bağırsak fonksiyonlarının geri dönüş süresini kısaltmak konusunda anlamlı etkisi mevcuttur. Sakız çiğnenmesi bağırsak fonksiyonlarının iyileştirilmesinde basit, ucuz ve güvenle uygulanabilecek fizyolojiye uygun bir yöntemdir.

Anahtar Kelimeler:

Postoperatif ileus, sakız ciğneme, cerrahi

Chewing Gum: A Funny Way Opposed To Postoperative Ileus For Gynecological Operations

Aim: The purpose of this study was to evaluate whether sugarless gum chewing promotes recovery of bowel function after total abdominal hysterectomy and bilateral salphingooferectomy. Also post operative analgesic and anti-emetic requirement were assessed.Material and Methods: 98 patients were enrolled into the study; 54 55.1% patients in the study gumchewing group and 44 44.9% cases in the control group. Patients in the gum chewing group chewed gum six times per day during post operative period and were asked to chew gum at least half an hour each time. The outcomes of the study were time to first flatus, first bowel movement, duration of hospitalization and need of analgesics and/or antiemetics during postoperative period.Results: Median flatus time was 7 hours in the gum chewing group and 9 hours in the control group. There was statistically significant difference between two groups in terms of time to flatus. Bowel sounds appeared significiantly earlier in the study group. At postoperative eighth hour, bowel sounds were active in 53 98.1% cases in the study group, and 23 52.3% cases in the control group.Conclusion: Gum chewing following gynecological operations offers significant benefits in reducing the time to resolution of bowel functions. It is a simple, inexpensive, convenient, and physiological method for enhancing the recovery of bowel function.

Keywords:

Postoperative ileus, gum chewing, surgery,

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