Bowel Function After Minimally Invasive Hysterectomy
Status:
Recruiting
Trial end date:
2023-06-30
Target enrollment:
Participant gender:
Summary
Postoperative constipation affects up to a third of women undergoing minimally invasive (MIS)
gynecologic surgery and is a major source of anxiety and discomfort. The average time to
first bowel movement after gynecologic surgery is about 2 to 4 days and some factors
responsible for this include anesthesia inhibitory effect on gastrointestinal motility,
opioid pain medication use, chronic NSAID use and anatomic manipulation.
There are no established regimens to manage postoperative constipation after minimally
invasive gynecologic surgery. Two studies evaluating the implementation of postoperative
bowel regimen with polyethylene glycol (PEG) and with Senna and Docusate found no significant
impact on postoperative bowel function. There have been no studies looking at the effect of
preoperative bowel regimens on postoperative bowel function.
The purpose of this study is to evaluate postoperative bowel function after minimally
invasive hysterectomy in women receiving a preoperative 10-day bowel regimen of PEG daily.