Operative laparoscopy: A challenge for general gynecology?

Tadir, Yona; Fisch, Benjamin

doi:10.1016/0002-9378(93)90122-y

Cited by 11 publications

(4 citation statements)

References 18 publications

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“…The main concern with early feeding was stimulating abdominal discomfort, such as nausea, vomiting, paralytic ileus etc. Currently, it is widely acceptable to initiate feeding immediately following laparoscopic surgery (5), (6), despite the use of general anesthesia. It appears that the interest in early feeding arose from the need to improve patient care and to shorten the hospitalisation period (8–13).…”

Section: Discussionmentioning

confidence: 99%

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Early maternal feeding following caesarean delivery: a prospective randomised study

Bar

Sheiner

Lezerovizt

et al. 2008

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

“…In an attempt to improve patient satisfaction and to reduce recovery time, a new concept was investigated which claimed that gastrointestinal complications were not expected after an uncomplicated operation and that bowel function is basically preserved (5–7).…”

Section: Introductionmentioning

confidence: 99%

Early maternal feeding following caesarean delivery: a prospective randomised study

Bar

Sheiner

Lezerovizt

et al. 2008

Acta Obstet Gynecol Scand

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“…Recently, laparoscopy has become more common for gynecologic and obstetric procedures as a safe approach with less bleeding and improved surgical outcomes [10,11]. A study by Gyr et al [12] compared traditional abdominal hysterectomy with minimally invasive laparoscopic hysterectomy with an ultrasonic scalpel and found that the latter reduces the need for analgesia and improves postoperative outcomes.…”

Section: Management Of Interstitial Pregnancy In the Era Of Laparoscomentioning

confidence: 99%

Management of interstitial pregnancy in the era of laparoscopy: a meta-analysis of 855 case studies compared with traditional techniques

et al. 2021

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Interstitial pregnancy is a rare, life-threatening condition that requires high clinical suspicion for diagnosis. Most cases are discovered after complications have occurred. Many authors have described laparoscopic management. Although previous systematic reviews have compared the attributes and complications associated with interstitial pregnancy, we endeavored to complete the first systematic review and meta-analysis to compare the laparoscopic treatment of interstitial pregnancy with the open approach in the modern age of laparoscopic surgery. We systematically searched PubMed, ClinicalTrials.gov, Scopus, Web of Science, and Cochrane until June 2020 using relevant keywords and screened them for eligibility. We found a statistically significant difference in blood loss between laparoscopic and open surgery (168 mL compared to 1,163 mL). Further, cumulative meta-analysis has revealed that blood loss in laparoscopy has been decreasing over time from 1991 to 2020. Laparoscopic patients took less operative time (63.2 minutes) compared to laparotomy patients (78.2 minutes). Patients in the laparoscopic group spent less time hospitalized (3.7 days) compared to laparotomy patients (5.2 days). Our findings add strength to the position that laparoscopic approaches to interstitial pregnancy can be considered first-line in most situations. The laparoscopic approach was found to have a mean blood loss of 168 mL, and this blood loss seems to decrease over time. Increased gravidity and duration of amenorrhea are positive factors that increase bleeding during the procedure. We are unable to find enough high-quality data to significantly compare successful pregnancy following surgery or risk of mortality in these populations.

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“…Thegrowing interest in early postoperative oral feeding may have been stimulated by the early resumption of oral diet intake recommended routinely after laparoscopic surgery (3,6). It has been shown by recent studies that, immediate initiation of oral intake may not be unique to laparoscopy, but also may be well tolerated and even beneficial to patients who have undergone laparotomy and caesarean section (7)(8)(9).…”

Section: Ear1)~psstoperative Oralfeedingmentioning

confidence: 99%

A randomised controlled trial of early initiation of oral feeding after Caesarean delivery in Mulago Hospital

2004

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Background: The concept of early initiation of oral feeding after caesarean delivery is well tolerated by patients, yet not routinely practiced in Mulago Hospital. An effective postoperative dietary management schedulecould have major implications on the management of maternal post-caesarean section mothers. Objectives: To compare the effect of time initiation of oral feeding on acceptability, benefits and gastrointestinal functions in women who had undergone caesarean section in Mulago Hospital. Design: A randomised controlled study. Setting: Mulago Hospital. Subjects: One hundred and ninety two women admitted on the postnatal ward after emergency or elective caesarean section for various indications and who satisfied the eligibility criteria were recruited and randomized into the study. Assignment to the early feeding group or routine feeding group was done randomly using a computer generated numbers. The early feeding group were encouraged to take sips of water within six to eight hours followed by oral soup or milk at least 150 millilitres at a time within 8 to 12 hours post operative under supervision. The routine group were managed by restricting oral intake for twenty four hours and administration of orals sips of water 24 to 48 hours post operative. The outcome measures were rate of ileus symptoms, post operative presence of bowel sounds, maternal pyrexia and acceptability and benefits of early feeding. Results: The mean age, parity and gravidity were similar in the two groups. The study shows that women of the early feeding group had more rapid return of their bowel function with significant more shorter mean post operative time intervals to bowels sounds (24.2 hours versus 34.2 hours), passage of flatus (51.6 hours versus 62.1 hours) and bowel movement (67.8 hours versus 75.8 hours). The women who fed early, made more rapid recovery and expressed their interest in earlicrhospital discharge. The findings significantly indicated that women in the early feeding group got out of bed (patient mobilisation) earlier (p = 0.001) than their control group (15.1 hours versus 17.8 hours). This could probably have been because of the adequate rehydration and improved early energy intake. In comparison those who were fed early required less number of bottles of intravenous fluids (5.0 bottles versus 7.0 bottles). The average hospital stay was similar and not statistically significant in both groups (5.5 days versus 6.0 days). Conclusion: Early initiation of oral feeding after caesarean delivery is safe and well tolerated and can be implemented without an increase in gastrointestinal symptoms or paralytic ileus. Do you need up-to-date peer reviewed medical literature? Kenya Medical Association, in collaboration with GlaxoSmithKiine, is pleased to introduce KMAIGSK RESOURCE CENTRE

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Operative laparoscopy: A challenge for general gynecology?

Cited by 11 publications

References 18 publications

Early maternal feeding following caesarean delivery: a prospective randomised study

Early maternal feeding following caesarean delivery: a prospective randomised study

Management of interstitial pregnancy in the era of laparoscopy: a meta-analysis of 855 case studies compared with traditional techniques

A randomised controlled trial of early initiation of oral feeding after Caesarean delivery in Mulago Hospital

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