Fast-track in Minimally Invasive Gynaecology
NCT04839263 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 170
Last updated 2021-04-14
Summary
Objective: Evaluate the effects of a fast-track (FT) protocol on costs and postoperative recovery.
Design: randomized trial
Setting: University Hospitals
Population: 170 women undergoing total laparoscopic hysterectomy for a benign indication
Methods: A FT protocol included the combination of minimally invasive surgery, analgesia optimization, early oral refeeding and rapid mobilization of patients was compared to a usual care protocol.
Main outcomes measure: Primary outcome was costs. Secondary outcomes were length of stay, postoperative morbidity and patient satisfaction.
Conditions
- Gynecologic Disease
Interventions
- PROCEDURE
-
"FAST TRACK" protocol
Preoperative evaluation and information Patient general health state optimization proposal prior to hospitalization: Preoperative strategy: * Hospitalization on surgery day * No prolonged fasting Perioperative strategy: * Pain control based on limited systemic opioid therapy use * Anti-nausea prophylaxis * Anaesthesia via IV propofol / remifentanyl * Bladder catheter removal postoperative Postoperative strategy: * Pain control using balanced analgesia * Gum chewing * Early oral refeeding and rapid mobilization * Venflon removal 6 hours post-op
Sponsors & Collaborators
-
University Hospital, Geneva
lead OTHER
Principal Investigators
-
Shahzia Lambat · HUG
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-09-01
- Primary Completion
- 2021-03-01
- Completion
- 2021-03-01
Countries
- Switzerland
Study Locations
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