Effect of Hot Pack Application on Gastrointestinal Motility After Abdominal Surgery
NCT ID: NCT06892782
Last Updated: 2025-03-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
80 participants
INTERVENTIONAL
2025-03-15
2025-12-15
Brief Summary
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The Effect of Hot Water Pack Application to the Lumbar Region on Gastrointestinal Motility in Postoperative Abdominal Surgery Patients
Study Type:
Interventional (Randomized Controlled Trial)
Study Design:
Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single-blind (Outcome Assessor) Primary Purpose: Supportive Care
Condition:
Postoperative Gastrointestinal Motility in Abdominal Surgery Patients
Interventions:
Experimental: Hot Water Pack Application Intervention: Application of a hot water pack (heated to 40-42°C) to the lumbar region for 20 minutes, three times a day, in the first 48 postoperative hours.
Purpose: To evaluate its effect on gastrointestinal motility and postoperative recovery.
Control: Routine Care Intervention: Standard postoperative care without hot water pack application.
Primary Outcome Measures:
Time to First Postoperative Gas (Hours) \[Time Frame: Up to 72 hours\]
Time to First Postoperative Stool (Hours) \[Time Frame: Up to 72 hours\] Time to Initiation of Oral Intake (Hours) \[Time Frame: Up to 72 hours\]
Secondary Outcome Measures:
Incidence of Postoperative Nausea and Vomiting (PONV) \[Time Frame: Up to 72 hours\] Severity of Abdominal Distension \[Time Frame: Up to 72 hours\]
Quality of Recovery-15 (QoR-15) Scale Score \[Time Frame: Postoperative Days 1 and 3\]
Gastrointestinal Symptom Rating Scale (GSRS) Score \[Time Frame: Postoperative Days 1 and 3\]
Eligibility Criteria:
Inclusion Criteria:
Abdominal surgery in the general surgery ward Age ≥ 18 years BMI between 18.50-24.99 kg/m² Able to communicate verbally Conscious, oriented, and willing to participate
Exclusion Criteria:
Previous gastrointestinal surgery Postoperative complications History of small bowel resection, ileostomy, or colostomy History of inflammatory bowel disease, emergency surgery, neoadjuvant therapy, appendectomy Chronic opioid use Chronic constipation (≤ 2 bowel movements per week) Abdominal radiotherapy ICU admission or postoperative bleeding
Estimated Enrollment:
80 participants (40 intervention, 40 control)
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Detailed Description
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Participants
The study will include patients who undergo abdominal surgery in the general surgery ward. Participants will be randomly assigned to one of two groups:
Intervention Group (Hot Water Pack Application) Control Group (Routine Care) Interventions
Intervention Group (Hot Water Pack Application):
Procedure: A hot water pack will be applied to the lumbar region for 20 minutes, three times a day during the first 48 postoperative hours. The hot water packs will be heated to a temperature of 40-42°C.
Purpose: To assess its effect on postoperative gastrointestinal motility (e.g., first gas, first stool, initiation of oral intake).
Control Group (Routine Care):
Procedure: Participants will receive standard postoperative care, which includes usual practices for abdominal surgery recovery without hot water pack application.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Hot Water Pack Application
Patients in the intervention group will receive hot water pack application to the lumbar region. After the surgery, a hot water pack (heated to 40-42°C) will be applied to the lumbar region of the patient for 20 minutes, three times a day during the first 48 postoperative hours. The goal is to assess the effect of this intervention on gastrointestinal motility, including the time to first postoperative gas, first stool, and initiation of oral intake.
Hot Water Pack Application
A hot water pack heated to 40-42°C will be applied to the lumbar region of the patient for 20 minutes at three intervals per day during the first 48 hours post-surgery.
Routine Care
Patients in the control group will receive routine postoperative care as per standard clinical practices. This group will not receive hot water pack application, and will instead undergo the usual procedures followed in the postoperative period to support recovery after abdominal surgery.
No interventions assigned to this group
Interventions
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Hot Water Pack Application
A hot water pack heated to 40-42°C will be applied to the lumbar region of the patient for 20 minutes at three intervals per day during the first 48 hours post-surgery.
Eligibility Criteria
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Inclusion Criteria
Undergoing elective surgery
ASA I and III (American Society of Anesthesiologists physical status classification)
In the postoperative period, pulse, blood pressure, and body temperature within normal limits
Patients without previous gastrointestinal system surgery
Exclusion Criteria
Complications in the postoperative period
History of small bowel resection and ileostomy or colostomy
History of inflammatory bowel diseases, emergency surgery, neoadjuvant therapy, appendectomy surgery
Chronic opioid use
Experiencing chronic constipation (≤ 2 bowel movements per week)
Receiving abdominal radiotherapy
Patients admitted to intensive care unit and patients with bleeding
18 Years
65 Years
ALL
Yes
Sponsors
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Kirsehir Ahi Evran Universitesi
OTHER
TC Erciyes University
OTHER
Responsible Party
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Dilek Talhaoglu
assistant professor
Central Contacts
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Other Identifiers
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hot pack in abdominal surgery
Identifier Type: -
Identifier Source: org_study_id
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