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The Effect of Chamomile on Flatulence After the Laparoscopic Cholecystectomy: A Randomized Triple-Blind Placebo-Controlled Clinical Trial Publisher



Salimi Zadak R1 ; Khalili G2 ; Motamedi M3 ; Bakhtiari S4
Authors
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Authors Affiliations
  1. 1. Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran
  2. 2. Department of Anesthesia, Isfahan University of Medical Science, Isfahan, Iran
  3. 3. Specialist in Traditional Medicine, Isfahan, Iran
  4. 4. Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran

Source: Journal of Ayurveda and Integrative Medicine Published:2023


Abstract

Objective: Flatulence is one of the main post-operative Ileus-related complications, especially in abdominal surgeries, which can be largely due to the effects of anesthesia. There are various kinds of therapeutic methods used for their treatment though sometimes their effects are limited. Thus, it is essential to find alternative treatments to decrease the implications of the disease. The present study is aimed to investigate the effect of Chamomilla recutita on flatulence after Laparoscopic cholecystectomy. Methods: This randomized controlled trial was carried out in 2020 at Isfahan in Iran. Patients randomly fell into either chamomile (n = 32) or placebo groups (n = 32). The intervention was performed 1 h before the operation. The severity and the frequency of flatulence were recorded using a visual analog scale in both groups in three stages before the operation, after the operation in recovery, and 2 h after the operation. Results: The flatulence was not observed before the operation and on arrival in the recovery room. Before leaving the recovery room, the frequency of flatulence was the same in both the groups. However, in the surgical ward, the frequency of flatulence in the chamomile group was significantly lower than in the placebo group. The mean of flatulence severity has significantly increased in both groups over time but in the chamomile group, this increase was significantly lower than in the placebo group. Conclusion: These results suggest that chamomile has a potential therapeutic effect on the gastrointestinal and can reduce flatulence. In laparoscopic surgeries, using chamomile drops as a preventive drug seems to be effective in reducing the incidence of postoperative flatulence. © 2023 The Authors
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2. 2020 Wses Guidelines for the Detection and Management of Bile Duct Injury During Cholecystectomy, World Journal of Emergency Surgery (2021)
3. Comparison of the Bile Reflux Frequency in One Anastomosis Gastric Bypass and Roux-En-Y Gastric Bypass: A Cohort Study, Obesity Surgery (2019)
4. Comparing Biofeedback Therapy and Balloon Defecation Training in Treatment of Dyssynergic Defecation, Journal of Isfahan Medical School (2010)
5. Comparing the Efficacy of Biofeedback and Balloon-Assisted Training in the Treatment of Dyssynergic Defecation, Canadian Journal of Gastroenterology (2011)
6. Frequency of Complications Following Laparoscopic Cholecystectomy in Alzahra Teaching Hospital, Isfahan, Iran (2009-2011), Journal of Isfahan Medical School (2015)
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