Meta-analysis of electrical stimulation promoting recovery of gastrointestinal function after gynecological abdominal surgery

Abstract

Background: The effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery was not clear.

Aim: To systematically evaluate the effects of electrical stimulation on gastrointestinal function recovery after gynecological abdominal surgery.

Methods: The Cochrane Library, Web of Science, PubMed, ProQuest, and the Chinese biomedical literature databases Wanfang, Weipu, and CNKI were used to search for relevant studies on controlled trials of electrical stimulation in gynecological abdominal surgery patients from self-established databases to May 2024. The RevMan software (version 5.3) was used to analyze the included literature and explore the heterogeneity of each study.

Results: Seven controlled trials, involving 520 patients, were included. The results of meta-analysis showed that electrical stimulation could shorten the recovery time of intestinal sound after gynecological abdominal surgery [odds ratio (OR): -5.11, 95%CI: -5.84 to -4.38, P < 0.00001] and improve the time of first anal exhaust (OR: -1.19, 95%CI: -1.38 to -0.99, P < 0.00001), improved the time of first anal defecation (OR: -0.98, 95%CI: -1.19 to -0.78, P < 0.00001), The difference is significant. According to the funnel plot, if the scatter is symmetrical, it indicates that the funnel plot is unbiased.

Conclusion: Electrical stimulation can shorten this reduces the length of time it takes for the patient to recover from bowel sounds and also affects the time to first anal voiding and defecation to some extent, thereby promoting gastrointestinal function recovery after gynecological abdominal surgery. The quality of the studies included in this review was poor, which may have affected the final results. It is necessary to conduct a randomized controlled study with higher quality and more samples to further confirm the promoting effect of electrical stimulation on gastrointestinal function recovery to guide clinical treatment.

Keywords: Abdominal surgery; Electrical stimulation; Gastrointestinal function; Gynecology; Meta-analysis.

Figure 1

Flow chart of document retrieval.

Figure 2

Shows the offset risk scale. A: Bar chart for literature quality evaluation; B: Risk offset entries and applicability summary chart.

Figure 3

Time after electrical stimulation. A: The recovery time of intestinal sound after electrical stimulation; B: The first anal exhaust time after electrical stimulation; C: The first anal defecation time after electrical stimulation; D: Hospital stay after electrical stimulation.

Figure 4

Shows the funnel diagram of each study. A: Funnel diagram of bowel sound recovery time; B: Funnel diagram of first anal exhaust time; C: Funnel diagram of first anal defecation time; D: Funnel diagram of hospital stay.