Effect of smooth muscle electric stimulation on intestinal function recovery after severe endometriosis surgery
WANG Jingxuan1, LU Dan1, DUAN Aihong1, LIU Bing1, SUN Ruyi2, WU Jing2, FENG Yi2, ZHAO Xin2
1. Department of Gynecology, 2. Female Pelvic Floor Dysfunction Diagnosis and Treatment Center,Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing 100026,China
Abstract:Objective To observe the effect of smooth muscle electric stimulation on intestinal function after severe endometriosis surgery. Methods A total of 150 postoperative patients with severe endometriosis were selected and divided into the observation group and control group, with 75 cases in each. The severity and locations of intestinal adhesion were recorded in both groups, and bioelectrical stimulation was performed 24 hours postoperatively. The observation group received smooth muscle electric stimulation, while the control group was subjected to traditional striated muscle stimulation. The time of regular bowel sounds, exhaust, defecation, tolerance to general foods and abdominal distension were compared between the two groups. Results Regular bowel sounds, the first exhaust and first tolerance to general foods without discomfort occurred earlier in the observation group than in the control group (P<0.05). The duration of abdominal distension in the observation group was shorter (P<0.05). None of the patients developed intestinal obstruction or adverse reactions. Conclusions Smooth muscle electric stimulation has a better effect than striated muscle electrical stimulation on postoperative intestinal function recovery in patients with severe pelvic endometriosis.
王静璇, 卢丹, 段爱红, 张宇迪, 刘冰, 孙如意, 吴静, 冯怡, 赵馨. 平滑肌电刺激对重度盆腔子宫内膜异位症术后肠功能恢复的疗效[J]. 武警医学, 2021, 32(11): 942-945.
WANG Jingxuan, LU Dan, DUAN Aihong, LIU Bing, SUN Ruyi, WU Jing, FENG Yi, ZHAO Xin. Effect of smooth muscle electric stimulation on intestinal function recovery after severe endometriosis surgery. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(11): 942-945.
Slack A,Child T,Lindsey I,et al.Urological and colorectal complications following surgery for rectovaginal endometriosis[J].BJOG,2007,114:1278-1282.
[4]
Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: enhanced recovery after surgery (ERAS) society recommendations—2019 update[J]. Obstet Gynecol Surv, 2019,74(7):408-409.
[5]
Swank D J, Hop W J, Jeekel J. Reduction, regrowth, and de novo formation of abdominal adhesions after laparoscopic adhesiolysis: a prospective analysis[J]. Dig Surg, 2004,21(1):66-71.
Possover M, Diebolder H, Plaul K, et al. Laparascopically assisted vaginal resection of rectovaginal endometriosis[J]. Obstet Gynecol, 2000, 96(2):304-307.
[9]
Antosh D D, Grimes C L, Smith A L, et al. A case-control study of risk factors for ileus and bowel obstruction following benign gynecologic surgery[J]. Inter J Gynecol Obstet, 2013,122(2):108-111.
Moore J S, Gibson P R, Burgell R E. Randomised clinical trial: transabdominal interferential electrical stimulation vs sham stimulation in women with functional constipation[J]. Aliment Pharmacol Ther, 2020, 51.