Auditory and Visual Stimulation for Abdominal Postoperative Patients Experiencing Enhanced Recovery After Surgery (ERAS)

Abstract

The Enhanced Recovery After Surgery program can reduce postoperative complications, hospital stay, and overall costs in patients, although the evidence for physical intervention with patients is still lacking. This study provides visual and auditory physical interventions to patients in order to explore the effects of Enhanced Recovery After Surgery following abdominal surgery. The study group consisted of patients who had undergone laparoscopic cholecystectomy, radical resection of gastric cancer, or radical resection of colon cancer; we randomly divided them into a control group and a visual and auditory intervention group. We then monitored the bowel sound frequency and time of the first anal self-exsufflation for both groups after surgery. We found that compared with the control group, patients who had undergone laparoscopic cholecystectomy and radical gastrectomy who received auditory intervention had increased bowel sound frequency and a shorter time until first anal self-exsufflation. In addition, patients with colon cancer who received both auditory and visual stimulation had increased bowel sounds and shorter time until the first anal self-exsufflation. These results suggest that visual and auditory interventions significantly improve patients' gastrointestinal function, shorten the hospitalization period, and reduce complications after operation.

Factors affecting gastrointestinal function recovery after cesarean section among Chinese mothers: A cross-sectional study

“…[4][5][6] It could lead to series of gastrointestinal dysfunction symptoms (e.g., difficulties in defecation, abnormal borborygmus, intestinal distension, abdominal pain, nausea, and vomiting), which would further impede the enhanced recovery after surgery (ERAS) of women with CS. [7] So, the recovery of gastrointestinal function is a crucial indicator for feeding guidance after all kinds of abdominal surgery and the first anal exhaustion time [8,9] or borborygmus time [10,11] were set as the primary outcome of recovery usually. With the introduction of the "3-child" policy in 2021 of China, [12] the increase of high-risk pregnancies may further lead to an increase in the number of CSs, and obstetrics will face more challenges.…”