The efficacy of preoperative low-residue diet on postoperative ileus following cesarean section
OBJECTIVE: To evaluate the efficacy of preoperative low-residue diet on postoperative ileus in women undergoing elective cesarean section (CS).
METHODS: This is a surgeon-blind, randomized controlled trial enrolling pregnant women at ≥39 weeks of gestation undergoing elective CS. Patients were preoperatively randomized to receive either low-residue diet (arm A) or free diet (arm B) starting from three days before surgery. The primary outcome was the postoperative ileus. The secondary outcomes were the postoperative pain (assessed through VAS scale), the quality of the surgical field (scored using a 5-point scale, from poor to excellent), postoperative complications, and the length of hospital stay. Perioperative data were collected and compared between groups.
RESULTS: A total of 166 patients were enrolled and randomized in arm A (n = 83) and arm B (n = 83). Postoperative ileus over 24 h was significantly shorter in arm A, compared to arm B (19.3% vs 36.2%). The surgical evaluation of small intestine was scored ≥3 in 96.4% of arm A patients versus 80.7% in arm B, while evaluation of large intestine, respectively, in 97.7% and 81.9%. Postoperative pain after 12 h from CS was significantly lower in arm A (VAS, 3.4 ± 1.7) compared to arm B (VAS, 4.1 ± 1.8). There were no significant differences as regards postoperative pain at 24 and 48 h, nausea/vomit, surgical complications, and hospital stay.
CONCLUSIONS: Implementation of a preoperative low-residue diet for women scheduled for elective CS would reduce postoperative ileus and pain. Further large-scale studies are required before translating these research findings into routine obstetrical practice.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians - 36(2023), 1 vom: 20. Dez., Seite 2203795 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Palaia, Innocenza [VerfasserIn] |
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| Links: |
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| Themen: |
Cesarean section |
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| Anmerkungen: |
Date Completed 25.04.2023 Date Revised 25.04.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1080/14767058.2023.2203795 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 4 | |a The efficacy of preoperative low-residue diet on postoperative ileus following cesarean section |
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| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To evaluate the efficacy of preoperative low-residue diet on postoperative ileus in women undergoing elective cesarean section (CS) | ||
| 520 | |a METHODS: This is a surgeon-blind, randomized controlled trial enrolling pregnant women at ≥39 weeks of gestation undergoing elective CS. Patients were preoperatively randomized to receive either low-residue diet (arm A) or free diet (arm B) starting from three days before surgery. The primary outcome was the postoperative ileus. The secondary outcomes were the postoperative pain (assessed through VAS scale), the quality of the surgical field (scored using a 5-point scale, from poor to excellent), postoperative complications, and the length of hospital stay. Perioperative data were collected and compared between groups | ||
| 520 | |a RESULTS: A total of 166 patients were enrolled and randomized in arm A (n = 83) and arm B (n = 83). Postoperative ileus over 24 h was significantly shorter in arm A, compared to arm B (19.3% vs 36.2%). The surgical evaluation of small intestine was scored ≥3 in 96.4% of arm A patients versus 80.7% in arm B, while evaluation of large intestine, respectively, in 97.7% and 81.9%. Postoperative pain after 12 h from CS was significantly lower in arm A (VAS, 3.4 ± 1.7) compared to arm B (VAS, 4.1 ± 1.8). There were no significant differences as regards postoperative pain at 24 and 48 h, nausea/vomit, surgical complications, and hospital stay | ||
| 520 | |a CONCLUSIONS: Implementation of a preoperative low-residue diet for women scheduled for elective CS would reduce postoperative ileus and pain. Further large-scale studies are required before translating these research findings into routine obstetrical practice | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ERAS | |
| 650 | 4 | |a cesarean section | |
| 650 | 4 | |a low-residue diet | |
| 650 | 4 | |a obstetrics | |
| 650 | 4 | |a perioperative management | |
| 650 | 4 | |a postoperative ileus | |
| 700 | 1 | |a Caruso, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Perniola, Giorgia |e verfasserin |4 aut | |
| 700 | 1 | |a Di Donato, Violante |e verfasserin |4 aut | |
| 700 | 1 | |a Brunelli, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Vestri, Annarita |e verfasserin |4 aut | |
| 700 | 1 | |a Scudo, Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Gentile, Gabriella |e verfasserin |4 aut | |
| 700 | 1 | |a Musella, Angela |e verfasserin |4 aut | |
| 700 | 1 | |a Benedetti Panici, Pierluigi |e verfasserin |4 aut | |
| 700 | 1 | |a Muzii, Ludovico |e verfasserin |4 aut | |
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