Effect of Warm Saline Compress on Intestines During Abdominal Surgery and Its Impact on Postoperative Nausea, Vomiting, and Bowel Function

What this Trial Is About

Researchers are evaluating the effect of applying a hot compress to the intestines during abdominal surgery on postoperative nausea, vomiting, and bowel function. This randomized study involves patients undergoing abdominal surgery who meet specific criteria such as age and body mass index BMI. The study aims to determine whether covering the intestines with saline heated to 36C during surgery affects recovery outcomes like nausea and bowel function. Participants are randomly assigned to one of two groups. The intervention group will have their intestines covered with sterile gauze soaked in saline heated to 36C during surgery to prevent drying and reduce infection risk. The control group will receive standard care, with intestines covered using gauze soaked in unheated saline. Both groups will undergo routine preoperative and postoperative procedures. Initially, 30 patients per group will be included, with further enrollment based on power analysis. Throughout the study, participants will complete forms and scales including the Patient Introduction Form, Patient Follow-up Form, Quality of Recovery-15 Scale QoR-15, and Gastrointestinal Symptom Rating Scale GSRS. Researchers will monitor gastrointestinal function by measuring time to first gas passage, first bowel movement, first normal bowel sounds, and first intake of liquid or semi-solid food. Postoperative gastrointestinal symptoms such as nausea, bloating, pain, and vomiting will also be assessed. The study will continue until early 2026, with careful monitoring of recovery and symptom severity.

Hot Compress Application in Open Abdominal Surgery