Auto-diuresis Predicts Return of Bowel Function. Surg Laparosc Endosc Percutan Tech 2022 Oct 01;32(5):528-533
Date
08/13/2022Pubmed ID
35960701DOI
10.1097/SLE.0000000000001083Scopus ID
2-s2.0-85139573066 (requires institutional sign-in at Scopus site)Abstract
PURPOSE: Feeding a ventral hernia repair (VHR) patient before the return of bowel function (ROBF) can lead to distention and emesis. Many patients spontaneously diurese after surgery. We hypothesized that this auto-diuresis would signal ROBF.
MATERIALS AND METHODS: A total of 395 patients who underwent open, laparoscopic, or mixed VHR were evaluated for correlation between fluid status and ROBF or discharge. ROBF within 24 hours and discharge within 24 hours or 48 hours were used as outcome measures.
RESULTS: Patients remained an average 3.59 days after surgery in the hospital and the average ROBF was on day 2.99. The first shift of ≥700 mL of urine predicted ROBF ( P =0.03) and discharge ( P =0.04) within 24 hours. The first shift output of ≥500 mL predicted discharge within 48 hours ( P =0.02).
CONCLUSION: Auto-diuresis after surgery is correlated to ROBF and discharge. Accurate fluid measurement can predict bowel function and allow early diet and discharge.
Author List
Kaiser JM, Helm MC, Higgins RM, Kastenmeier AS, Rein LE, Goldblatt MIAuthors
Matthew I. Goldblatt MD Professor in the Surgery department at Medical College of WisconsinRana Higgins MD Associate Professor in the Surgery department at Medical College of Wisconsin
Lisa E. Rein Biostatistician III in the Institute for Health and Equity department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
DiuresisHernia, Ventral
Herniorrhaphy
Humans
Laparoscopy
Retrospective Studies
