Perioperative bowel management for gynecologic surgery.


Journal Article (Review)

Postoperative intestinal care after major gynecologic surgery has changed considerably. The purpose of this review was to describe these changes. Our findings are that (1) preoperative mechanical bowel preparation does not lower the risk of anastomotic leakage and infection, (2) elective postoperative nasogastric tube decompression increases postoperative pneumonia and does not decrease the incidence of other postoperative complications, (3) early feeding after major gynecologic surgery reduces hospital stay and does not increase (and may decrease) pneumonia and other postoperative complications, and (4) early feeding, gum chewing, bowel stimulation, alvimopan, and ketorolac may decrease the incidence of postoperative ileus.

Full Text

Cited Authors

  • Fanning, J; Valea, FA

Published Date

  • October 2011

Published In

Volume / Issue

  • 205 / 4

Start / End Page

  • 309 - 314

PubMed ID

  • 21704963

Pubmed Central ID

  • 21704963

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

International Standard Serial Number (ISSN)

  • 0002-9378

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2011.05.010


  • eng