Early feeding after a total abdominal hysterectomy

Flesher, Mary; Wagner, Brenda and Jones, Lyn (2009) Early feeding after a total abdominal hysterectomy. Online Journal of Health And Allied Sciences, 7 (4). ISSN 0972-5997

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Abstract

Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestinal effects were made between the early fed group (n=82) and the traditionally fed group (n=82). Results: Both groups had the similar gastrointestinal symptoms postoperatively, but the early fed group had an earlier bowel movement. The early fed group had a statistically significant shorter length of stay. Similar usage of anti-nausea medication and pain medication usage was noted between the two groups, except for a lower usage of Tylenol #3 (acetaminophen with codeine) in the early fed group. Conclusions: This study found that early feeding could be tolerated well in TAH patients, with statistically significant improvements in usage of some pain medication and length of stay were noted in the early fed group.

EPrint Type:Article
Uncontrolled Keywords:Early Feeding, Diet Tolerance, Total Abdominal Hysterectomy, Hysterectomy, Diet, Fluids
Subjects:Surgical Procedures, Operative > Urogenital Surgical Procedures
Surgical Procedures, Operative > Postoperative Care
Therapeutics > Patient Care
Female Genital Diseases and Pregnancy Complications > Genital Diseases, Female > Uterine Diseases
-Journal Repositories > Online Journal of Health and Allied Sciences
Surgical Procedures, Operative > Surgical Procedures, Elective
Investigative Techniques > Diet
Surgical Procedures, Operative > Preoperative Care
ID Code:3230
Deposited By:Dr Srinivas Kakkilaya
Deposited On:13 March 2009

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