Auto-diuresis Predicts Return of Bowel Function.
| Autor: | Kaiser JM; Department of Surgery., Helm MC; Advocate Aurora Health Aurora St. Luke's Medical Center., Higgins RM; Department of Surgery., Kastenmeier AS; Department of Surgery., Rein LE; Department of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI., Goldblatt MI; Department of Surgery. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2022 Oct 01; Vol. 32 (5), pp. 528-533. Date of Electronic Publication: 2022 Oct 01. |
| DOI: | 10.1097/SLE.0000000000001083 |
| Abstrakt: | Purpose: Feeding a ventral hernia repair (VHR) patient before the return of bowel function (ROBF) can lead to distention and emesis. Many patients spontaneously diurese after surgery. We hypothesized that this auto-diuresis would signal ROBF. Materials and Methods: A total of 395 patients who underwent open, laparoscopic, or mixed VHR were evaluated for correlation between fluid status and ROBF or discharge. ROBF within 24 hours and discharge within 24 hours or 48 hours were used as outcome measures. Results: Patients remained an average 3.59 days after surgery in the hospital and the average ROBF was on day 2.99. The first shift of ≥700 mL of urine predicted ROBF ( P =0.03) and discharge ( P =0.04) within 24 hours. The first shift output of ≥500 mL predicted discharge within 48 hours ( P =0.02). Conclusion: Auto-diuresis after surgery is correlated to ROBF and discharge. Accurate fluid measurement can predict bowel function and allow early diet and discharge. Competing Interests: R.M.H. receives honoraria for teaching from WL Gore and Intuitive Surgical. A.S.K. receives honoraria for teaching from WL Gore. M.I.G. receives honoraria for teaching and consulting fees from WL Gore, Intuitive Surgical, and Medtronic, honoraria for teaching and research funding from Medtronic, and research funding from BD. The remaining authors declare no conflicts of interest. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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