Journal of the American College of Surgeons
-
Pelvic fractures are often associated with major intraabdominal injuries or severe bleeding from the fracture site. ⋯ Some epidemiological variables are important risk factors of severity of pelvic fractures, presence of associated abdominal injuries, blood loss, and need of angiography. These risk factors can help in selecting the most appropriate diagnostic and therapeutic interventions.
-
Randomized Controlled Trial Clinical Trial
Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy.
Postoperative ileus limits early hospital discharge for patients who have undergone laparoscopic procedures. Sham feeding has been reported to enhance bowel motility. Here, the effect of gum chewing is evaluated as a convenient method to enhance postoperative recovery from ileus after laparoscopic colectomy. ⋯ Gum chewing aids early recovery from postoperative ileus and is an inexpensive and physiologic method for stimulating bowel motility. Gum chewing should be added as an adjunct treatment in postoperative care because it might contribute to shorter hospital stays.