Influence of Coffee Intake on Postoperative Bowel Function After Comprehensive Staging Surgery for Gynecological Malignancies: A Randomized Controlled Trial.

A delay in the return of normal bowel function with the passage of flatus and feces is one of the most important factors affecting early recovery and discharge in patients undergoing open complete staging surgery for gynecological malignancies. A prolonged hospital stay increases the risk of hospital-acquired infections, deep vein thrombosis, pulmonary compromise and total hospital costs.

The aim of this study was to assess the effectiveness of coffee intake on postoperative bowel function in patients undergoing abdominal complete staging surgery for gynecological malignancies.

Inclusion Criteria:

• Female patients preparing for complete surgical staging for malignant gynecologic disease such as endometrial cancer, cervix cancer and ovarian cancerwere assessed for eligibility. Exclusion Criteria: Exclusion criteria for the study
• included thyroid diseases,
• inflammatory bowel disease,
• complaints of chronic constipation (defined as two or fewer bowel movements per week),
• a history of prior abdominal bowel surgery, abdominal radiation, neoadjuvant chemotherapy,
• need for intensive care more that 24 hpostoperatively,
• nasogastric tube drainage beyond the first postoperative morning,
• bowel anastomosis and upper abdominalmultivisceral surgical approaches in relation to the debulking surgery.