Reduction of Postoperative Gastrointestinal Dysmotility Following Total Laparoscopic Hysterectomy.
NCT03800745 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 81
Last updated 2020-06-02
Summary
Return of bowel function is an integral component of postoperative recovery following minimally invasive gynecologic surgery. To date, there is no standardized regimen to optimize bowel motility postoperatively. Clinical practices vary in the medications prescribed to facilitate this process, as well as what is considered the norm for return of flatus and time to first bowel movement.
This study is a randomized control trial. The primary outcome of the study is to assess the effect of a standardized postoperative bowel care regimen on return of bowel function by assessing the time to first bowel movement; a secondary outcome is to assess the effect of such a regimen on time to first flatus. The hypothesis is that the prescription of a laxative, rather than a stool softener or no agent, will expedite the time to first bowel movement and first flatus. Other secondary outcomes and endpoints are assessing narcotic use measured in total oral morphine equivalents in the first five days postoperatively, as well as the constipation score and the PAC-SYM questionnaire.
Conditions
- Postoperative Passage of Flatus
- Postoperative Bowel Movement
Interventions
- DRUG
-
Colace 100Mg Capsule
Prescribed to Arm B
- DRUG
-
Miralax
Prescribed to Arm C
Sponsors & Collaborators
-
Michael Sprague MD
collaborator UNKNOWN -
Pamela Frazzini-Padilla MD
collaborator UNKNOWN -
Katherine Smith MD
collaborator UNKNOWN -
Jennifer Afton Cooper MD
collaborator UNKNOWN -
The Cleveland Clinic
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2018-11-09
- Primary Completion
- 2020-05-05
- Completion
- 2020-05-05
- FDA Drug
- Yes
Countries
- United States
Study Locations
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