Western Journal of Medicine

Verbal instructions before major operations can influence recovery and cut hospital stays.

During abdominal surgery , the stomach and intestines usually go on strike. Gut movement and digestion are halted. Nothing can be eaten or drunk for days. Anybody who had undergone this ordeal will know that all-important signal that the gut is working again: passing gas. This means the food can be consumed and going home is probably not far away.

A recent study indicates that giving patients specific verbal suggestions before major operations can influence physiological recovery. In a study of 40 patients undergoing abdominal surgery, one group was given a 5-minute presentation of general instructions and reassurance while patients in the experimental group received 5 minutes of specific instructions about restoring bowl function.

As predicted, patients receiving specific suggestions reported passing first gas after only 2.6 days compared to 4.2 days for the control group of patients. Length of time until first meal, another measure of return of bowl function, also favored the preoperative suggestion group. Though not statistically significant, the experimental group also was discharged from their hospital in 6.5 days on average - 1.5 days earlier than the control group of patients.

If these trend results are found significant with a larger group of patients, the projected savings from these brief verbal instructions would be $1,200 per patient assuming minimum room rate of $800.00 per day.

Preoperative Instructions

Because you need to eat food to bring nutrients to your boyd, it is important that your stomach and intestines begin to move as soon as possible after your operation. Abdominal operations cause your stomach and intestines to stop moving for a short time. In your case, this will be kept to a minimum because you will be very relaxed and comfortable. your stomach will pump and gurgle, and you will become very hungry soon after the operation. Therefore, your stomach and intestines will begin to move and churn so that you can eat your favorite food (name) soon after the operation.

For more information: Disbow EA, Bennett HL, Owings JT: Effect pf preoperative suggestion on postoperative gastrointestinal motility. Western Journal of Medicine 1993; 158:488-492