Huang XX, Gu HF, Shen PH, Chu BL, Chen Y. Meta-analysis of electrical stimulation promoting recovery of gastrointestinal function after gynecological abdominal surgery. World J Gastrointest Surg 2024; 16(11): 3559-3567 [PMID: 39649213 DOI: 10.4240/wjgs.v16.i11.3559]
Corresponding Author of This Article
Ying Chen, Nurse, Department of Obstetrics, Huzhou Maternal and Child Health Hospital, No. 2 East Street, Wuxing District, Huzhou 313000, Zhejiang Province, China. cylm0418@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Meta-Analysis
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xue-Xia Huang, Ying Chen, Department of Obstetrics, Huzhou Maternal and Child Health Hospital, Huzhou 313000, Zhejiang Province, China
Hui-Feng Gu, Department of Nursing, Huzhou Maternal and Child Health Hospital, Huzhou 313000, Zhejiang Province, China
Ping-Hua Shen, Bo-Liang Chu, Department of Gynaecology, Huzhou Maternal and Child Health Hospital, Huzhou 313000, Zhejiang Province, China
Author contributions: Chen Y designed research; Huang XX performed research; Gu HF and Shen PH contributed new reagents or analytic tools; Chu BL analyzed data; Huang XX wrote the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist statement, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying Chen, Nurse, Department of Obstetrics, Huzhou Maternal and Child Health Hospital, No. 2 East Street, Wuxing District, Huzhou 313000, Zhejiang Province, China. cylm0418@163.com
Received: August 1, 2024 Revised: August 24, 2024 Accepted: September 13, 2024 Published online: November 27, 2024 Processing time: 90 Days and 6.6 Hours
Abstract
BACKGROUND
The effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery was not clear.
AIM
To systematically evaluate the effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery.
METHODS
The Cochrane Library, Web of Science, PubMed, ProQuest, and the Chinese biomedical literature databases Wanfang, Weipu, and CNKI were used to search for relevant studies on controlled trials of electrical stimulation in gynecological abdominal surgery patients from self-established databases to May 2024. The RevMan software (version 5.3) was used to analyze the included literature and explore the heterogeneity of each study.
RESULTS
Seven controlled trials, involving 520 patients, were included. The results of meta-analysis showed that electrical stimulation could shorten the recovery time of intestinal sound after gynecological abdominal surgery [odds ratio (OR): -5.11, 95%CI: -5.84 to -4.38, P < 0.00001] and improve the time of first anal exhaust (OR: -1.19, 95%CI: -1.38 to -0.99, P < 0.00001), improved the time of first anal defecation (OR: -0.98, 95%CI: -1.19 to -0.78, P < 0.00001), The difference is significant. According to the funnel plot, if the scatter is symmetrical, it indicates that the funnel plot is unbiased.
CONCLUSION
Electrical stimulation can shorten this reduces the length of time it takes for the patient to recover from bowel sounds and also affects the time to first anal voiding and defecation to some extent, thereby promoting gastrointestinal function recovery after gynecological abdominal surgery. The quality of the studies included in this review was poor, which may have affected the final results. It is necessary to conduct a randomized controlled study with higher quality and more samples to further confirm the promoting effect of electrical stimulation on gastrointestinal function recovery to guide clinical treatment.
Core Tip: Electrical stimulation can shorten this reduces the length of time it takes for the patient to recover from bowel sounds and also affects the time to first anal voiding and defecation to some extent, thereby promoting gastrointestinal function recovery after gynecological abdominal surgery.
