Chewing Gum After Radical Cystectomy With Urinary Diversion for Recovery of Intestinal Function: A Systematic Review and Meta-Analysis

Atkins, Craig S; Tubog, Tito D; Schaffer, Scott K.

doi:10.1016/j.jopan.2021.10.003

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…Эффективность применения ЖР в послеоперационном периоде для профилактики ПОИ продемонстрирована и в послеоперационном периоде при другой хирургической патологии: хирургических вмешательствах в акушерстве и гинекологии [61][62][63][64][65][66][67][68][69][70], в урологии [71][72][73][74][75][76][77], в травматологии и ортопедии [78][79][80], что нашло отражение в Кокрановском обзоре.…”

Section: кокрановский обзор и клинические рекомендацииunclassified

Current problem - postoperative ileus

Trukhan,

Degovtsov,

Karasev

2023

jour

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In abdominal surgery, after operations on the abdominal cavity, it is possible to develop disturbances in the normal coordinated propulsive motility of the gastrointestinal tract. This episode of gastrointestinal hypomotility or the state of dynamic ileus is referred to as postoperative ileus (POI) or postoperative gastrointestinal tract paresis. The incidence of POI in the clinic of abdominal surgery ranges from 10 to 30%. Chewing gum has been used in surgery to relieve postoperative intestinal obstruction since the early 21st century. The present review considers the main randomized clinical trials, reviews and meta-analyses on the study of the effect of chewing gum in abdominal surgery for the prevention of postoperative ileus. The data presented in the review indicate the effectiveness and safety of the use of chewing gum in the postoperative period for the prevention of POI in abdominal surgery and surgical interventions in related areas.

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Section: кокрановский обзор и клинические рекомендацииunclassified

Current problem - postoperative ileus

Trukhan,

Degovtsov,

Karasev

2023

jour

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“…However, long-term, large-scale, randomized controlled trials confirming these findings are required [ 37 ]. In addition, chewing gum use after surgery, a safe and inexpensive method, may accelerate bowel function recovery by reducing the time to the first bowel movement, thus improving bowel function recovery and reducing bowel obstruction incidence [ 37 , 38 ].…”

Section: Challenges Of Lrc With Ionbmentioning

confidence: 99%

Laparoscopic Radical Cystectomy with Ileal Orthotopic Neobladder for Bladder Cancer: Current Indications and Outcomes

Guo,

Zhang,

Liang

et al. 2023

Urol Int

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Background: Laparoscopic radical cystectomy (LRC) with ileal orthotopic neobladder (IONB) reconstruction is one of the most promising methods for bladder cancer treatment; its advantages include a small incision size, less blood loss, improved perioperative outcome and tumor prognosis, and a positive self-image postoperatively. The short-term benefits of various IONB reconstruction procedures reported thus far include a simple process, short operative time, less intraoperative bleeding, few postoperative complications, and good postoperative neobladder function; in the long term, these benefits engender good quality of life of the patients. Here, we explored and summarized the more novel and available IONB reconstruction procedures to identify the safest, most efficient, and simplest IONB reconstruction techniques for patients with bladder cancer. Summary: LRC with IONB reconstruction is technically feasible; however, most of the relevant studies have been short, employing a small sample size and a retrospective design. However, long-term, large-scale, prospective studies identifying the most appropriate bowel segments for IONB reconstruction, comparing intracorporeal and extracorporeal IONB reconstruction, assessing currently available IONBs, and resolving relevant postoperative complications further, with a focus on patients with bladder cancer, are warranted. Key Message: Several procedures for LRC with IONB reconstruction have been reported thus far. However, there is no consensus regarding the IONB reconstruction procedures most beneficial to patients with bladder cancer. Our review may aid researchers in developing a simple, safe, and efficient LRC with IONB reconstruction procedure for patients with bladder cancer.

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“…Pre‐, intra‐, and post‐operative components are included in multimodal, interdisciplinary enhanced recovery after surgery pathways to lessen provider variance. ER, after‐surgery utilisation, may lead to a shorter length of stay, fewer problems, lower expenditures, and better wound healing 5‐13 . However, fewer reports compare ER after surgery's effect on wound dehiscence 14‐18 .…”

Section: Introductionmentioning

confidence: 99%

“…ER, after‐surgery utilisation, may lead to a shorter length of stay, fewer problems, lower expenditures, and better wound healing. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 However, fewer reports compare ER after surgery's effect on wound dehiscence. 14 , 15 , 16 , 17 , 18 We sought to comprehensively analyse in this meta‐analysis the outcome of ER after RC on wound dehiscence.…”

Section: Introductionmentioning

confidence: 99%

Wound dehiscence in enhanced recovery after open radical cystectomy: A meta‐analysis

Xue

Liu

et al. 2023

International Wound Journal

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A meta‐analysis study to assess the outcome of enhanced recovery (ER) after radical cystectomy (RC) on wound dehiscence was performed. A comprehensive literature examination till January 2023 was implemented and 1457 linked studies were appraised. The picked studies contained 772 open RC subjects in the picked studies' baseline, 436 of them were enhanced recovery after RC, and 336 were open RC. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of enhanced recovery after RC on wound dehiscence after open RC by the dichotomous styles and a fixed or random model. The ER after RC caused significantly lower wound dehiscence (OR, 0.51; 95% CI, 0.30–0.89, P = .02) with low heterogeneity (I2 = 46%) compared with open RC. The ER after RC caused significantly lower wound dehiscence compared with open RC. Thorough precaution should be taken when commerce with the consequences because a limited number of studies were found and selected for this meta‐analysis.

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Chewing Gum After Radical Cystectomy With Urinary Diversion for Recovery of Intestinal Function: A Systematic Review and Meta-Analysis

Cited by 10 publications

References 15 publications

Current problem - postoperative ileus

Current problem - postoperative ileus

Laparoscopic Radical Cystectomy with Ileal Orthotopic Neobladder for Bladder Cancer: Current Indications and Outcomes

Wound dehiscence in enhanced recovery after open radical cystectomy: A meta‐analysis

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