Yidan Cao, Zhengqing Wang, Liping A, Xuefang Zhou, Jie Zhang
This study summarizes the best evidence for non-pharmacological intervention of postoperative abdominal distension after gynecological laparoscopy from eight aspects. This evidence summary possesses high scientific rigor and clinical applicability, providing guidance for medical staff in constructing standardized postoperative abdominal distension management protocols, thereby facilitating the improvement of patients' postoperative recovery experience. However, the findings are based on previously published evidence and have not been prospectively validated in clinical practice; therefore, the recommendations should be adapted to local clinical contexts and further evaluated in implementation studies.
OBJECTIVE: To retrieve and summarize the best evidence on non-pharmacological interventions for postoperative bloating in gynecological laparoscopic patients, providing an evidence-based foundation for the clinical management of gastrointestinal function.
METHODS: According to the 5S pyramid model of evidence-based practice resources, a systematic search was conducted in databases such as Web of Science, Embase, Cochrane Library, PubMed, CNKI, Wanfang, and VIP. Relevant guidelines, clinical decision, evidence summaries, systematic reviews, and expert consensus were collected. The search period spanned from the inception of the databases to January 31, 2026. Two reviewers independently screened and evaluated the literature, followed by evidence extraction and summarization according to the JBI Evidence Grading and Recommendation System.
RESULT: A total of 20 articles were included, comprising 4 guidelines, 1 clinical decision, 5 expert consensus, 1 evidence summary, and 9 systematic reviews. By summarizing and integrating the evidence, 23 best pieces of evidence were formed from 8 aspects: preoperative prevention, posture management, early activity, nutritional intervention, chewing gum, beverage intervention, appropriate traditional Chinese medicine techniques, and health education.
CONCLUSION: This study summarizes the best evidence for non-pharmacological intervention of postoperative abdominal distension after gynecological laparoscopy from eight aspects. This evidence summary possesses high scientific rigor and clinical applicability, providing guidance for medical staff in constructing standardized postoperative abdominal distension management protocols, thereby facilitating the improvement of patients' postoperative recovery experience. However, the findings are based on previously published evidence and have not been prospectively validated in clinical practice; therefore, the recommendations should be adapted to local clinical contexts and further evaluated in implementation studies.
SYSTEMATIC REVIEW REGISTRATION: http://ebn.nursing.fudan.edu.cn/home, identifier ES202610098.