Analysis of the operative factors related to anal exhaust time after laparoscopic surgery for benign gynecological diseases

• Published in: Journal of gynecology obstetrics and human reproduction Vol. 50; no. 8; p. 102142
• Main Authors: Yu, Meng, Wang, Weijie, Liu, Bei, Wang, Na, Gong, Ronghua, Xu, Jianbo
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.10.2021
• Subjects: Abdominal washing; Adult; Anal exhaust; Benign gynecological diseases; Cathartics - analysis; Chi-Square Distribution; Female; Humans; Laparoscopy; Laparoscopy - methods; Laparoscopy - standards; Laparoscopy - statistics & numerical data; Logistic Models; Middle Aged; Ovarian Cysts - surgery; Postoperative Complications; Rapid recovery; Retrospective Studies; Salpingectomy - methods; Salpingectomy - standards; Salpingectomy - statistics & numerical data; Time Factors; Benign gynecological diseases; Anal exhaust; Abdominal washing; Laparoscopy; Rapid recovery
• ISSN: 2468-7847; 2468-7847
• DOI: 10.1016/j.jogoh.2021.102142

The study seeks to determine surgical factors related to anal exhaust in patients treated with laparoscopic surgery for benign gynecological diseases and to explore measures that effectively promote the rapid recovery of intestinal function in these patients. From June 2017 to August 2018, 155 patients with benign gynecological diseases who underwent laparoscopic surgery in our hospital were selected as study subjects. Patients were divided into two groups based on anal exhaust time: the ≤ 24-hour group and > 24-hour group. Factors related to the operation were statistically analyzed for all patients. Chi-squared tests and logistic regression were used for univariate and multivariable analyses. Of 155 gynecological patients, 57 (36.8%) underwent laparoscopic ovarian cyst stripping, 48 (30.9%) underwent laparoscopic salpingectomy with/without oophorectomy, and 50 (32.3%) underwent laparoscopic myomectomy. Among all patients, 62 (40.0%) and 93 (60.0%) had anal exhaust within and after 24 h, respectively. Univariate analysis results revealed differences in the operation method (P = 0.040), intraoperative blood loss (P = 0.037), operation duration (P = 0.007), whether an abdominal drainage tube was placed (P = 0.012) and whether warm saline was used (37 °C) for abdominal washing (P = 0.013) between groups. Logistic regression analysis showed that the duration of the operation (P = 0.027) and whether warm saline was used for abdominal washing (P = 0.040) were the main factors affecting anal exhaust time. During laparoscopy for patients with benign gynecological diseases, abdominal washing with warm water is an important factor that promotes early postoperative anal exhaust and is worthy of use in clinical practice.