{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T04:19:31Z","timestamp":1697343571811},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T00:00:00Z","timestamp":1353369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,4]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The aim of this study was to evaluate the effect of our novel technique on the prevention of postoperative ileus in patients undergoing systematic para\u2010aortic lymphadenectomy (PALN<\/jats:styled-content>).<\/jats:p><\/jats:sec>Material and Methods<\/jats:title>PALN<\/jats:styled-content> was performed in 135 gynecological cancer patients (67 with ovarian cancer, 58 with endometrial cancer, 8 with serous surface papillary adenocarcinoma (SSPC<\/jats:styled-content>) and 2 with fallopian tube cancer) between 2006 and 2011. To prevent postoperative ileus, we performed our novel technique wherein the small bowel and colon are released from pressure and soaked in 2\u2009L of physiological saline for 1\u2009min every 20\u2009min during the lymphadenectomy. We indicated our novel PALN<\/jats:styled-content> technique and retrospectively analyzed the outcomes of the surgical procedure in terms of the surgical data, and postoperative incidence of gastrointestinal dysfunction in patients with gynecological malignancies.<\/jats:p><\/jats:sec>Results<\/jats:title>The mean blood loss was 641.2\u2009\u00b1\u2009800.3\u2009mL in the PALN<\/jats:styled-content> group and 313.9\u2009\u00b1\u2009278.9\u2009mL in the pelvic lymphadenectomy (PLN<\/jats:styled-content>) without PALN<\/jats:styled-content> group (P<\/jats:italic>\u2009<\u20090.0001). There was no difference in the first passage of flatus between the PALN<\/jats:styled-content> group and the PLN<\/jats:styled-content> group (1.8\u2009\u00b1\u20090.7 days vs 1.6\u2009\u00b1\u20090.7 days). The mean time to tolerance of a regular diet was significantly longer in the PALN<\/jats:styled-content> group than in the PLN<\/jats:styled-content> group (P<\/jats:italic>\u2009<\u20090.0001), whereas the incidence of vomiting was similar in both groups. Surprisingly, there were no cases of postoperative ileus in either group.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Our novel technique is a safe and effective way to prevent the incidence and decrease the severity of postoperative ileus after PALN<\/jats:styled-content> for gynecological malignancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1447-0756.2012.02040.x","type":"journal-article","created":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T13:50:43Z","timestamp":1353419443000},"page":"849-854","source":"Crossref","is-referenced-by-count":2,"title":["Novel para\u2010aortic lymphadenectomy technique for gynecological malignancies prevents postoperative bowel obstruction"],"prefix":"10.1111","volume":"39","author":[{"given":"Yoshito","family":"Terai","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Osaka Medical College Osaka 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