Constipation After Elective Laparoscopy for Benign Gynecological Indications-A Prospective Observational Study

Area of Science:

• Gynecology
• Surgical Outcomes
• Gastroenterology

Background:

• Post-operative constipation is a frequent complication following surgical procedures.
• Benign gynecological laparoscopy is commonly performed, necessitating an understanding of its associated risks.
• The impact of post-operative constipation on patient well-being requires further investigation.

Purpose of the Study:

• To determine the incidence of post-operative constipation in patients undergoing elective laparoscopy for benign gynecological conditions.
• To assess the level of bother associated with bowel habit changes post-surgery.
• To identify potential factors influencing the rate of post-operative constipation.

Main Methods:

• A prospective observational study was conducted with 103 participants undergoing elective gynecological laparoscopy.
• Participants completed surveys pre-operatively, one week post-operatively, and three months post-operatively.
• Constipation was defined using modified ROME IV criteria; data on bowel habits, pain relief, laxative use, and distress were collected.

Main Results:

• Post-operative constipation was reported in 70% of participants.
• The mean time to the first bowel movement was 3 days, with 32% experiencing their first bowel movement after postoperative day 3.
• Constipation was associated with a higher level of bother, and no specific variables were identified as influencing its occurrence.

Conclusions:

• Post-operative constipation is a prevalent and bothersome issue for patients undergoing elective gynecological laparoscopy.
• Current analysis did not reveal specific pre-operative or intra-operative factors that predict the development of constipation.
• Further research may be needed to explore preventative strategies and management options.