Postoperative ileus in gynecological practice: a simple, effective and safe solution to the problem

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Abstract

Abdominal surgery can cause development of dynamic intestinal obstruction, so called postoperative ileus. The incidence of postoperative ileus (POI) after gynecological surgery averages 10–15% (range 5–25%). Chewing gum (CG) has been used in abdominal surgery and obstetric and gynecological practice to reduce POI since the beginning of the 21st century. In obstetrical and gynecological practice, the largest number of randomized clinical trials and meta-analyses are devoted to the use of CG after caesarean section. The present review discussses the main randomized clinical trials, reviews and meta-analyses devoted to the study of the effect of CG after other surgical interventions in gynecological practice for the prevention of POI. The data presented in the review indicate the effectiveness and safety of the use of CG in the postoperative period for the prevention of POI in gynecological practice.

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About the authors

Dmitry I. Trukhan

Omsk State Medical University

Author for correspondence.
Email: dmitry_trukhan@mail.ru
ORCID iD: 0000-0002-1597-1876
SPIN-code: 2414-6938

Dr. Sci (Med.), Associate Professor, Professor at the Department of Outpatient Therapy and Internal Medicine

Russian Federation, Omsk

E. N. Degovtsov

Omsk State Medical University

Email: dmitry_trukhan@mail.ru
ORCID iD: 0000-0003-0385-8232
SPIN-code: 8566-7424
Russian Federation, Omsk

E. A. Degovtsova

Omsk Regional Center for Advanced Training of Health Workers

Email: dmitry_trukhan@mail.ru
Russian Federation, Omsk

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