الفهرس 
HYSTERECTOMYOnly 14 pages are availabe for public view
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Abstract
H
ysterectomy is the gynecologic surgery most frequently performed worldwide. Hysterectomy is surgery to remove the uterus. The uterus is a pear shaped hollow muscular organ flattened antero posteriorly, situated between the bladder and the rectum.
Indications of hysterectomy includes Benign disease (Leiomyoma, Adenomyosis, Endometriosis, Pelvic organ prolapse, chronic pelvic pain) and Malignant disease (Endometrial cancer, Cervical intraepithelial neoplasia, Invasive cervical cancer, Atypical endometrial hyperplasia, Ovarian cancer, Fallopian tube cancer).
Gastrointestinal complications are common after most surgeries including abdominal hysterectomy, it associated with several changes in central nervous system, leading to decreased bowel movement, Ileus initiates variety of symptoms such as abdominal distention, pain, intolerance to oral diet, dependence on parenteral nutrition, and prolongs hospital stay while imposing large economic burden on national healthcare system.
Postoperative bowel paralysis is common after abdominal operations, including total abdominal hysterectomy. Which tends to prolong the duration of hospital stay. A recent study showed that consumption of regular coffee after total abdominal hysterectomy is associated with a significantly faster resumption of intestinal motility.
Coffee is a popular global drink and positively affects human body including central nervous system, and the cardiovascular system, and improves one’s sense of well-being. Gastrointestinal system can be stimulated by food with substantial caloric content, acidity, osmolarity, or volume load. Cohn showed that consumption of coffee in young adults has positive on intestinal motility.
The current study is cross sectional case control, that was held in Ain Shams University Maternity Hospital. The aim was to compare between effect of coffee on bowel movement after total abdominal hysterectomy. This study included 80 women after total abdominal hysterectomy, the mean(SD) of age 45.1±2.9 years.
In our study first passage of flatus in intervention group occurred 4 hours earlier than control group.
The first defecation in our study showed significant difference in the two groups which occurred 4 hours earlier in intervention group than control group.