Effects Of Laxatives On Postoperative Intestinal Sound Recovery


  • Eko Sari Wahyuni Poltekkes Kemenkes Malang
  • Rudi Hamarno Poltekkes Kemenkes Malang
  • Taufan Arif Poltekkes Kemenkes Malang
  • Erlina Suci Astuti Poltekkes Kemenkes Malang
  • Rossyana Septiasih Poltekkes Kemenkes Malang




Intestinal sound is produced by muscle movements in the digestive tract. The return of intestinal sound after surgery is an important indicator for patients to return to eating and drinking normally. This study aimed to determine whether the administration of laxatives before surgery can speed up the recovery of intestinal sound in patients undergoing surgery with general anesthesia. The study involved 30 patients divided into two groups: a laxative group and a control group. The laxative group received laxatives before surgery, while the control group did not. Intestinal sound recovery time was measured in both groups. The sampling technique uses purposive sampling with the Mann Whitney statistical test. The results showed that the administration of laxatives before surgery had a significant effect on intestinal sound recovery time in postoperative patients under general anesthesia (p < 0.05). The laxative group showed faster recovery of intestinal sound than the control group. From this study it can be concluded that the administration of pre-operative laxatives can be beneficial for postoperative patients under general anesthesia to accelerate the recovery of bowel function. So that suggestions to the next researcher are advised to conduct research respondents who are given more varied laxatives


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Bowel recovery, general anesthesia, intestinal sound


Bibby, N., Lord, R., & Maske, A. (2023). Enhanced Recovery after Surgery. Nutritional Management of the Surgical Patient, 33–41. https://doi.org/10.1002/9781119809128.ch5

Burch, J., & Collins, B. (2021). Oxford handbook of gastrointestinal nursing. Oxford University Press.

Delima, M., Kartika, K., & Deswita, D. (2019). Pengaruh Pengaturan Posisi terhadap Lama Pemulihan Keadaan Pasien Post Operasi dengan Anestesi Umum di Recovery Room RSAM Bukittinggi. Jurnal Kesehatan Perintis, 6(1), 35–41. https://doi.org/10.33653/jkp.v6i1.206

Diebakate-Scordamaglia, L., Voican, C., & Perlemuter, G. (2022). Iatrogenic constipation in gastrointestinal surgery. Journal of Visceral Surgery, 159(1), S51–S57. https://doi.org/10.1016/j.jviscsurg.2021.12.003

Dudi-Venkata, N. N. (2021). The Role of Laxatives in Improving Recovery of Gastrointestinal Function after Colorectal Surgery.

Dudi-Venkata, N. N., Kroon, H. M., Bedrikovetski, S., Moore, J. W., Thomas, M. L., & Sammour, T. (2020). A global survey of surgeons’ preferences and practice with regard to laxative use after elective colorectal surgery. International Journal of Colorectal Disease, 35, 759–763.

Goyal, S. (2020). Emergency Surgery–Handbook. Notion Press.

He, H., Yang, G., Wang, S., Han, X., & Li, J. (2022). Fast-track surgery nursing intervention in CRC patients with laparotomy and laparoscopic surgery. Medicine, 101(37), e30603. https://doi.org/10.1097/MD.0000000000030603

Joshi, G. P. (2021). General anesthetic techniques for enhanced recovery after surgery: Current controversies. Best Practice & Research Clinical Anaesthesiology, 35(4), 531–541. https://doi.org/10.1016/j.bpa.2020.08.009

Krishnamoorthy, B. (2020). Care of patients requiring vascular surgery. Pudner’s the Surgical Patient E-Book, 22(14), 443–501.

Liew, A. N., Narasimhan, V., Peeroo, S., Arachchi, A., Tay, Y. K., Lim, J., Nguyen, T. C., Saranasuriya, C., Suhardja, T. S., & Teoh, W. (2023). Mechanical bowel preparation with pre?operative oral antibiotics in elective colorectal resections: An Australian single institution experience. ANZ Journal of Surgery, 93(10), 2439–2443. https://doi.org/10.1111/ans.18428

Limas, P. I., & Alinudinputra, S. H. (2018). Pengaruh pemberian sirup emulsi laksatif pada lama perawatan pasien pasca hemoroidektomi Milligan-Morgan. Tarumanagara Medical Journal, 1(1), 141–144. https://doi.org/10.24912/tmj.v1i1.2532

Ma, J., Chen, S., Ren, X., Han, H., Gong, M., Song, Y., & Liu, L. (2023). Preoperative bowel preparation promotes intestinal functional recovery after esophagectomy. African Health Sciences, 23(3), 540–546. https://doi.org/10.4314/ahs.v23i3.62

Ningrum, W. A. C., Azhima, A. N., & Suratun, S. (2020). Waktu Muncul Dan Frekuensi Peristaltik Usus Pada Pasien Post Operasi Dengan Mobilisasi Dini. Jurnal Ilmu Keperawatan Dan Kebidanan, 11(1), 78–85. https://doi.org/10.26751/jikk.v11i1.575

Okusaga, O., Mowat, R., & Cook, C. (2022). Effectiveness of early mobilisation versus laxative use in reducing constipation in post-operative orthopaedic patients: An integrative review. AJAN-The Australian Journal of Advanced Nursing, 39(2). https://doi.org/10.37464/2020.392.410

Pfeifer, K. J., Selzer, A., Whinney, C. M., Rogers, B., Naik, A. S., Regan, D., Mendez, C. E., Urman, R. D., & Mauck, K. (2021). Preoperative management of gastrointestinal and pulmonary medications: Society for Perioperative Assessment and Quality Improvement (SPAQI) consensus statement. 96(12), 3158–3177. https://doi.org/10.1016/j.mayocp.2021.08.008

Rahmadina, A. F., Hamarno, R., & Yuswanto, T. J. A. A. (2023). Efektivitas Mobilisasi Dini, Kompres Hangat, dan Mengunyah Permen Karet Terhadap Pemulihan Peristaltik Usus Pasien Post Operasi dengan General Anestesi di RSUD Dr. Soedomo Trenggalek. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 14(4), 685–693. http://dx.doi.org/10.33846/sf14406

Roesel, R., Mongelli, F., Ajani, C., Iaquinandi, F., Celio, D., & Christoforidis, D. (2021). Bowel function recovery after laparoscopic transverse colectomy within an ERAS program: A comparison to right and left colectomy. Langenbeck’s Archives of Surgery, 406, 1563–1570.

Salama, H. F. M., Egiz, M. N., & Fathy, A. A. (2022). The Impact of Laxative Drops on The Bowel Motility and Post Caesarean Section Recovery. The Egyptian Journal of Hospital Medicine, 88(1), 2582–2587. https://doi.org/10.21608/EJHM.2022.239205

Simegn, A. E., Melesse, D. Y., Bizuneh, Y. B., & Alemu, W. M. (2022). Perioperative management of patients with liver disease for non-hepatic surgery: A systematic review. Annals of Medicine and Surgery, 75, 103397. https://doi.org/10.1016/j.amsu.2022.103397

Sitepu, A. L., Simarmata, P. C., Anggrareni, R. F., & Sipayung, S. T. (2021). Pengaruh Pemberian Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Pada Pasien Post Operasi Laparatomi Di Rumah Sakit Grandmed Lubuk Pakam. Jurnal Keperawatan Dan Fisioterapi (JKF), 4(1), 57–63. https://doi.org/10.35451/jkf.v4i1.827

Sormin, T., Puri, A., & Yudandi, A. (2022). Pengaruh Mobilisasi Dini Dan Kompres Hangat Terhadap Pemulihan Peristaltik Usus Pada Pasien Post Operasi Dengan Anestesi Umum. Jurnal Ilmu Keperawatan Indonesia (JIKPI), 3(1), 1–12. https://doi.org/10.57084/jikpi.v3i1.840

Sriharyanti, D. E., & Arif, S. (2016). Pengaruh mobilisasi dini rom pasif terhadap pemulihan peristaltik usus pada pasien paska pembedahan dengan anestesi umum di Smc Rs Telogorejo. Jurnal Ilmu Keperawatan Dan Kebidanan, 2(5).

Suprapti, E., Syah, A. Y., Purwaningsih, I., Astuti, Y., Dayaningsih, D., Anggarawati, T., Martini, D. E., Tinungki, Y. L., Sari, N. W., & Martyastuti, N. E. (2023). Konsep Keperawatan Dasar. PT. Sonpedia Publishing Indonesia.

Zamora, I. J., Ghani, M. O. A., & Heiss, K. (2022). Enhanced Recovery After Surgery Protocols (ERAS): The Next Generation of Perioperative Quality Improvement, Safety, and Innovation. In Fundamentals of Pediatric Surgery (pp. 67–77). Springer.

Zhou, X., & He, Y. (2020). Understanding perioperative bowel preparation for colorectal surgery. Digestive Medicine Research, 3. https://doi.org/10.21037/dmr.2019.12.08




How to Cite

Wahyuni, E. S., Hamarno, R. ., Arif, T. ., Astuti, E. S., & Septiasih, R. . (2024). Effects Of Laxatives On Postoperative Intestinal Sound Recovery. Health Frontiers: Multidisciplinary Journal for Health Professionals, 2(1), 1–7. https://doi.org/10.62255/mjhp.v2i1.124