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Evid Based Nurs 11:56 doi:10.1136/ebn.11.2.56
  • Treatment

Review: early feeding after major gynaecological surgery is safe except for an increase in nausea

K Charoenkwan

Dr K Charoenkwan, Chiang Mai University, Chiang Mai, Thailand; kicharoe@mail.med.cmu.ac.th

QUESTION

In women having major abdominal gynaecological surgery, does early initiation of oral intake of food and fluids increase postoperative complications more than delayed initiation?

METHODS

Data sources:

Cochrane Menstrual Disorders and Subfertility Group’s specialised register of controlled trials, Medline, CINAHL, EMBASE/Excerpta Medica, and Cochrane Central Register of Controlled Trials (to April 2007); reference lists; and experts.

Study selection and assessment:

randomised controlled trials (RCTs) that compared early (<24 h) with delayed (>24 h, after resolution of postoperative ileus) initiation of oral intake of food and fluids after major open gynaecological surgery. Excluded were trials that were quasi-randomised or had no clear random allocation criteria; had important violations of the randomisation procedure or exclusions …

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