Early oral diet may enhance recovery from benign gynecologic surgery: A single center prospective study.

Autor:	Yang ST; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Kuo SC; Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC., Liu HH; Department of Medical Imaging and Intervention, Tucheng Hospital, New Taipei City, Taiwan, ROC., Huang KM; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC., Liu CH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Chen SF; Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan, ROC., Wang PH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Female Cancer Foundation, Taipei, Taiwan, ROC.
Jazyk:	angličtina
Zdroj:	Journal of the Chinese Medical Association : JCMA [J Chin Med Assoc] 2023 Oct 01; Vol. 86 (10), pp. 917-922. Date of Electronic Publication: 2023 Aug 17.
DOI:	10.1097/JCMA.0000000000000982
Abstrakt:	Background: Early dietary intake enhanced recovery after surgery (ERAS). There remains a gap in the recognition and implementation of early diet after surgery in medical institutions in Taiwan. This study aimed to investigate whether early oral intake after benign gynecologic surgery results in favorable outcomes in Taiwanese patients. Methods: This was a prospective controlled nonrandomized cohort study. Patients who underwent benign gynecological surgery were included in the early- and conventional-diet groups. The primary outcome was length of hospital stay, and the secondary outcome was postoperative complications. Results: Forty and 38 patients were included in the early and conventional-diet groups, respectively. The early-diet group demonstrated significantly reduced length of hospital stay (the early-diet group, 2.58 ± 0.93 days; conventional-diet group, 4.16 ± 1.13 days; p < 0.001). No increase in postoperative complications was observed in the early-diet group. Laparoscopic surgery reduced the length of hospital stay (β, -0.65; 95% confidence interval [CI], -1.22 to -0.08; p = 0.027), while an increased length of hospital stay was associated with higher visual analog scales (VAS, β, 0.21; 95% CI, 0.03-0.39; p = 0.026) and the conventional-diet group (β, 1.13; 95% CI, 0.65-1.61; p < 0.001) as assessed by multivariate regression analysis. Conclusion: Patients who underwent benign gynecologic surgery tolerated an early oral diet well without an increase in complications. Laparoscopic surgery and lower pain scores also enhanced postoperative recovery. Competing Interests: Conflicts of interest: Dr Peng-Hui Wang, an editorial board member at Journal of the Chinese Medical Association , had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article. (Copyright © 2023, the Chinese Medical Association.)
Databáze:	MEDLINE
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