The Effect of Chewing Gum and Hot Compresses on Gynecologic Oncologic Surgery

NCT06196138 | Completed

• 1 other identifier: IstanbulMU20
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

The passage discusses the recovery of gastrointestinal (GI) function after abdominal surgery and the potential impact on patient comfort. After surgery, small bowel activity typically returns to normal within a few hours, gastric activity within 24-48 hours, and colonic activity within 48-72 hours. However, the delayed mobility of the GI system postoperatively can lead to issues such as abdominal bloating, nausea, vomiting, and pain. These symptoms can negatively affect patient comfort, leading to increased post-operative pain, decreased mobility, reduced satisfaction, and a longer hospital stay. Therefore, interventions that expedite the normalization of bowel activity are crucial. Chewing is suggested to stimulate intestinal motility by activating the cephalovagal pathway, which influences neurogenic and hormonal factors regulating GI functions. Postoperative heat application aims to prevent hypothermia, enhance bodily functions, and potentially promote bowel motility by stimulating somatic nerves. The study explores the effects of gum chewing and hot application protocols on postoperative pain, bowel function, and patient comfort after gynecologic oncologic surgery. It aims to contribute valuable insights to the existing literature on postoperative outcomes.

Conditions

Gynecologic Nursing; Pain

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale

  This scale, which can be used horizontally or vertically, is shaped like a 10 cm line. The scale begins with "No pain" and ends with "My pain is very severe. The person is asked to select a number between 0 and 10 that corresponds to the pain they feel on this scale.

  8 months

• General Comfort Scale

  The highest total score that can be obtained from the scale is 192 and the lowest total score is 48. Obtained The total score depends on the number of scale items.

  8 months

Study Arms (3)

Gum

EXPERIMENTAL

Patients who will chew gum after surgery will constitute this group

Other: Gum

Hot Compress

EXPERIMENTAL

Patients who will undergo hot compress after surgery will constitute this group

Other: Hot Compress

Control

NO INTERVENTION

Patients who will undergo routine protocol will constitute this group

Interventions

Gum OTHER

In the postoperative period, starting from the 4th hour, chewing gum is done 3 times a day, morning, noon and evening, for 30 minutes each, until the patient passes the first flatus.

Gum

Hot Compress OTHER

Starting from the 1st postoperative day, patients will receive hot application (to the lumbar region) for 10 minutes in the morning and evening. The hot application is applied by wrapping 2 towels in a water bag containing 55 ± 2 °C hot water. The water bag is applied to the lumbar region for 10 minutes with the patient in the supine position. The application is continued until the patient passes the first flatus.

Hot Compress

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Only patients of the female gender will be included, as they are patients undergoing gynecological surgery.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• To undergo elective minimally invasive gynecologic surgery
• No cognitive, affective and mental problems that would prevent gum chewing and hot application
• Does not have any chronic disease
• No previous abdominal surgery
• Turkish speaking and
• Women who volunteer to participate in the study will be included.

You may not qualify if:

• Who wants to leave the work for any reason
• History of ileostomy and colostomy
• He was taken to intensive care after the surgery and
• Women with postoperative complications (bleeding, infection, etc.) will be excluded from the study.

Sponsors & Collaborators

• Istanbul Medeniyet University: lead
• Istanbul University: collaborator
• Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital: collaborator

Study Sites (1)

Dr. Abdurrahman Yalcin Training and Research Hospital

Ankara, Turkey (Türkiye)

Location

Related Publications (5)

• Akladios C, Darai E, Golfier F, Lecuru F, Collinet P, Uzan C, Lavoue V, Guyon F, Ferron G, Querleu D. [National certification for gynecological cancer surgery]. Bull Cancer. 2021 Sep;108(9):806-812. doi: 10.1016/j.bulcan.2021.03.019. Epub 2021 Jun 30. French.

  PMID: 34217437 BACKGROUND

• Schneider S, Armbrust R, Spies C, du Bois A, Sehouli J. Prehabilitation programs and ERAS protocols in gynecological oncology: a comprehensive review. Arch Gynecol Obstet. 2020 Feb;301(2):315-326. doi: 10.1007/s00404-019-05321-7. Epub 2019 Oct 15.

  PMID: 31616986 BACKGROUND

• Nanthiphatthanachai A, Insin P. Effect of Chewing Gum on Gastrointestinal Function Recovery After Surgery of Gynecological Cancer Patients at Rajavithi Hospital: A Randomized Controlled Trial. Asian Pac J Cancer Prev. 2020 Mar 1;21(3):761-770. doi: 10.31557/APJCP.2020.21.3.761.

  PMID: 32212805 BACKGROUND

• Phutsisen J, Kietpeerakool C, Jampathong N, Chumworathayi B, Temtanakitpaisan A, Aue-Aungkul A, Boontasaeng P. Effects of Cassia alata Linn on bowel function recovery following surgery for gynecological cancer: A randomized controlled trial. Complement Ther Med. 2019 Dec;47:102222. doi: 10.1016/j.ctim.2019.102222. Epub 2019 Oct 21.

  PMID: 31779993 BACKGROUND

• Yin YN, Xie H, Ren JH, Jiang NJ, Dai L. The impact of gum-chewing on postoperative ileus following gynecological cancer surgery: A systematic review and meta-analysis of randomized controlled trials. Front Oncol. 2023 Jan 17;12:1059924. doi: 10.3389/fonc.2022.1059924. eCollection 2022.

  PMID: 36733360 RESULT

MeSH Terms

Conditions

Pain

Interventions

Chewing Gum

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Plant Gums; Biopolymers; Polymers; Macromolecular Substances; Polysaccharides; Carbohydrates; Plant Exudates; Biological Products; Complex Mixtures; Candy; Food; Diet, Food, and Nutrition; Physiological Phenomena; Food and Beverages

Study Officials

• Merve Beke, MSc

  Dr. Abdurrahman Yalcin Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Asisstant

Study Record Dates

• First Submitted: December 22, 2023
• First Posted: January 9, 2024
• Study Start: January 1, 2024
• Primary Completion: November 1, 2024
• Study Completion: December 1, 2024
• Last Updated: March 27, 2026

Record last verified: 2024-03

Locations

TU (1)