Postoperative Ileus: Incidence and risk factors after hyster
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POI is a common complication after hysterectomy. Patients exposed to the risk factors of POI should be monitored closely for its development according to this study published in International Journal of Colorectal Disease.

Postoperative ileus (POI) after abdominal surgery is associated with prolonged hospital stay and increased costs. The aim of this study is to investigate the incidence of, risk factors for, and outcomes associated with POI in patients undergoing hysterectomy for benign indications.

A retrospective review of 1017 consecutive patients undergoing benign hysterectomy over the period 2012–2017 in a single center was performed.

POI was predefined as absence of flatus and defecation for more than 2 days with the presence of one or more of the following symptoms: nausea, vomiting, and abdominal distention.

The association between perioperative variables and the risk of POI was evaluated by univariate analysis. Independent risk factors were identified by multivariate logistic regression analysis.

Results:
• Overall incidence of POI was 9.2%.
• Incidence of POI did not differ significantly among three different surgical approaches (abdominal hysterectomy, 10.6%; laparoscopic hysterectomy, 7.8%; vaginal hysterectomy, 11.3%; P = 0.279).
• Independent risk factors of POI identified by multivariate analysis included anesthesia technique, adhesiolysis , duration of operation, previous cancer, and dysmenorrhea .

Conclusion:
• Researchers concluded that POI is a common complication after hysterectomy. This study identified risk factors of POI specifically for gynecologic patients. Patients exposed to these factors should be monitored closely for the development POI.

Source: https://link.springer.com/article/10.1007/s00384-020-03698-5
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