3. Postoperative management in included studies.
Author | Trial | Postoperative analgesia | Nasogastric tube | Bladder catheter | Postoperative diet | Mobilisation |
Participants discharged |
Klarenbeek | Sigma Trial 2009 | "After surgery all patients were started on intravenous patient controlled analgesia (PCApump) with morphine (0.02 mg/kg, max. 6 times/h) up to maximum postoperative day 3. Oral analgesia (Paracetamol 1 g/24 hours qid) was started on postoperative day 2" | "Nasogastric tubes were removed at the end of the operation" |
"Bladder catheters were removed on postoperative day 1" | "Noncarbonated liquids were offered the evening after the surgery. If oral liquids were tolerated, diet was advanced to soft, and thereafter, solid food was given" |
"Early mobilization was encouraged and implemented starting on the first postoperative day" |
"After having had a bowel movement, tolerating solid food, able to walk properly, and feeling comfortable with oral analgesia" |
Gervaz 2010 | "Pain management was achieved with paracetamol i.v. 500 mg q.i.d. and ketorolac i.v. 30 mg t.i.d. for the first 48 hours, and then switched to paracetamol p.o. 500 mg. q.i.d. and ibuprofen p.o. 600 mg t.i.d. In addition, the patients were instructed to ask the nurse for opiates administration in case of intractable pain. Morphine was injected subcutaneously whether needed at a dose of 0.1 mg/kg, with a maximum daily dose of 0.6 mg/kg" |
NR | NR | "On postoperative day 1, all patients were free to drink as much fluid as tolerated, and were started on a solid diet on postoperative day 2" |
"They were encouraged to walk as soon as possible" |
NR | |
Raue 2011 | LAPDIV‐CAMIC trial | NR | NR | NR | NR | NR | NR |
i.v.: in‐vein.
mg: milligrams.
NR: not reported.
p.o.: peroral.
q.i.d. : quadris in die.
t.i.d. : tris in die.