{"id":"https://openalex.org/W7225250055","doi":"https://doi.org/10.3389/fmed.2026.1921050","title":"Perioperative factors associated with delayed passage of flatus after laparoscopic uterine myomectomy: a single-center retrospective cohort study","display_name":"Perioperative factors associated with delayed passage of flatus after laparoscopic uterine myomectomy: a single-center retrospective cohort study","publication_year":2026,"publication_date":"2026-11-04","ids":{"openalex":"https://openalex.org/W7225250055","doi":"https://doi.org/10.3389/fmed.2026.1921050"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1921050","doi":"https://doi.org/10.3389/fmed.2026.1921050","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1921050","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1921050/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1921050/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160676429","display_name":"Qihuang Liu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Qihuang Liu","raw_affiliation_strings":["Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138862311","display_name":"Jingyi Gu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jingyi Gu","raw_affiliation_strings":["Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138917899","display_name":"Ruili Luo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ruili Luo","raw_affiliation_strings":["Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5138928679","display_name":"Jianghong Liang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Jianghong Liang","raw_affiliation_strings":["Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecology, Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5138928679"],"corresponding_institution_ids":[],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89735811,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.6693999767303467,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.6693999767303467,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.27709999680519104,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12089","display_name":"Intestinal and Peritoneal Adhesions","score":0.03539999946951866,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postoperative-ileus","display_name":"postoperative ileus","score":0.8489999771118164},{"id":"https://openalex.org/keywords/gastrointestinal-function-recovery","display_name":"gastrointestinal function recovery","score":0.8159999847412109},{"id":"https://openalex.org/keywords/constipation","display_name":"constipation","score":0.7409999966621399},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.9919999837875366},{"id":"https://openalex.org/keywords/perioperative-risk-factors","display_name":"perioperative risk factors","score":0.7049999833106995}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9574000239372253},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7716000080108643},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6448000073432922},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5791000127792358},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5687000155448914},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.5116000175476074},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.46950000524520874},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4544000029563904},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.4449000060558319},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.4422000050544739},{"id":"https://openalex.org/C2781112942","wikidata":"https://www.wikidata.org/wiki/Q178436","display_name":"Constipation","level":2,"score":0.39899998903274536},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3352000117301941},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.3246000111103058},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.2590999901294708},{"id":"https://openalex.org/C2776111594","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopic surgery","level":3,"score":0.25699999928474426}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fmed.2026.1921050","doi":"https://doi.org/10.3389/fmed.2026.1921050","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1921050","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1921050/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1921050","doi":"https://doi.org/10.3389/fmed.2026.1921050","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1921050","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1921050/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225250055.pdf","grobid_xml":"https://content.openalex.org/works/W7225250055.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1979849615","https://openalex.org/W1980721253","https://openalex.org/W2012290449","https://openalex.org/W2022026020","https://openalex.org/W2037668591","https://openalex.org/W2062093903","https://openalex.org/W2073792037","https://openalex.org/W2095563504","https://openalex.org/W2098977755","https://openalex.org/W2102001134","https://openalex.org/W2114524856","https://openalex.org/W2119910794","https://openalex.org/W2148120268","https://openalex.org/W2148413240","https://openalex.org/W2275737843","https://openalex.org/W2485585346","https://openalex.org/W2523424611","https://openalex.org/W2595206985","https://openalex.org/W2776011478","https://openalex.org/W2921529689","https://openalex.org/W3002209814","https://openalex.org/W4210981417","https://openalex.org/W4211073917","https://openalex.org/W4211229530","https://openalex.org/W4233026002","https://openalex.org/W4366990477","https://openalex.org/W4401213936"],"related_works":["https://openalex.org/W7207557007","https://openalex.org/W7151448421","https://openalex.org/W7162258381","https://openalex.org/W2947067403","https://openalex.org/W3081231889","https://openalex.org/W2000908564","https://openalex.org/W2393436865","https://openalex.org/W7167835287","https://openalex.org/W3173179833","https://openalex.org/W3102112898"],"abstract_inverted_index":{"Introduction":[0],"Delayed":[1],"passage":[2,49],"of":[3,28,50,202,215,225,251],"flatus":[4,51],"(DPF)":[5],"after":[6,135,187],"laparoscopic":[7,35],"uterine":[8,36],"myomectomy":[9,37],"may":[10],"indicate":[11],"slower":[12],"gastrointestinal":[13],"recovery,":[14],"but":[15],"procedure-specific":[16],"evidence":[17],"is":[18],"limited.":[19],"Methods":[20],"We":[21],"conducted":[22],"a":[23,222,265],"single-center":[24],"retrospective":[25],"cohort":[26],"study":[27],"342":[29],"consecutive":[30],"adult":[31],"patients":[32,108,115],"who":[33],"underwent":[34],"between":[38],"March":[39,42],"2021":[40],"and":[41,66,93,96,123,126,143,173,221,236,259],"2025.":[43],"The":[44,189,204],"endpoint":[45,74],"was":[46,75,89,133,234,239],"no":[47],"documented":[48,134],"within":[52],"the":[53,73,146,200,211,228,249],"first":[54],"3":[55],"postoperative":[56,82],"days.":[57],"Because":[58],"oral-intake":[59],"intolerance,":[60],"nausea":[61],"or":[62],"vomiting,":[63],"abdominal":[64,141],"distension,":[65],"nasogastric-tube":[67],"use":[68],"were":[69],"not":[70],"systematically":[71],"captured,":[72],"treated":[76],"as":[77,98],"DPF":[78,104,186],"rather":[79],"than":[80],"consensus-defined":[81],"ileus.":[83],"A":[84,241],"three-variable":[85],"logistic":[86],"regression":[87],"model":[88,149,205],"restricted":[90],"to":[91],"preoperative":[92],"intraoperative":[94,165],"variables":[95],"interpreted":[97],"an":[99,207,246],"exploratory":[100],"association":[101],"model.":[102],"Results":[103],"occurred":[105],"in":[106,112,199],"35":[107,114,152],"(10.2%).":[109],"Plain":[110],"radiographs":[111],"all":[113],"meeting":[116],"this":[117],"threshold":[118],"showed":[119],"multiple":[120],"air-fluid":[121],"levels":[122],"diffuse":[124],"small-":[125],"large-bowel":[127],"gas.":[128],"No":[129],"focal":[130],"mechanical":[131],"obstruction":[132],"record":[136],"review":[137],"that":[138],"included":[139],"bedside":[140],"findings":[142,256],"radiography.":[144],"In":[145],"primary":[147],"complete-case":[148],"(341":[150],"patients;":[151],"events),":[153],"pre-existing":[154],"constipation":[155],"(odds":[156],"ratio":[157],"[OR]":[158],"12.84,":[159],"95%":[160,170,180,218],"confidence":[161],"interval":[162],"[CI]":[163],"3.65\u201345.21),":[164],"intestinal":[166,194],"adhesion":[167],"(OR":[168,176],"39.91,":[169],"CI":[171,181,219],"13.89\u2013114.71),":[172],"operative":[174],"time":[175],"1.014":[177],"per":[178],"minute,":[179],"1.006\u20131.023)":[182],"remained":[183],"associated":[184],"with":[185],"adjustment.":[188],"wide":[190],"CIs,":[191],"particularly":[192],"for":[193],"adhesion,":[195],"indicated":[196],"substantial":[197],"uncertainty":[198],"magnitude":[201],"association.":[203],"had":[206],"apparent":[208,232,237],"area":[209,247],"under":[210,248],"receiver-operating":[212],"characteristic":[213],"curve":[214,250],"0.939":[216],"(bootstrap":[217],"0.894\u20130.978)":[220],"Brier":[223],"score":[224],"0.040.":[226],"At":[227],"data-derived":[229],"Youden-index":[230],"threshold,":[231],"sensitivity":[233],"0.857":[235],"specificity":[238],"0.908.":[240],"single":[242],"5-fold":[243],"cross-validation":[244],"yielded":[245],"0.923.":[252],"Discussion":[253],"These":[254],"center-specific":[255],"are":[257],"hypothesis-generating":[258],"require":[260],"prospective":[261],"external":[262],"validation":[263],"using":[264],"multidimensional":[266],"gastrointestinal-recovery":[267],"endpoint.":[268]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-11-05T00:00:00"}
