Perioperative care in minimally invasive gynaecological surgery Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women who are scheduled for elective laparoscopic surgery with benign gynaecological indication in the form of procedure salpingectomy, salpingo-oopherectomy, ovarian cystectomy, myomectomy or hysterectomy with or without bilateral salpingo-oophorectomy) 2. American Society of Anesthesiologist (ASA) classification I-II 3. Aged 18-65 years 4. Distance between patient’s home and hospital less than 50 km radius
Exclusion criteria
Exclusion criteria: 1. Malignancy 2. Pregnancy 3. Logistic problem and residence out of 50 km radius 4. Intellectual disability, impaired cognition 5. Allergic to drug in study protocol 6. History of anesthesia complication 7. Sleep apnea 8. Poorly controlled asthma and chronic obstructive pulmonary disease 9. On therapeutic anticoagulation 10. History of arrhythmia, congestive heart failure, pacemaker or hypertension require more than three medications 11. Type 1 Diabetes mellitus, poorly control Type 2 Diabetes mellitus where HbA1c >7.9% 12. Significant underlying kidney disease (eGFR <30 mL/min/1.73m2) 13. Liver cirrhosis 14. Daily alcohol consumption more than 2 drinks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative length of stay, from completion of surgery to time documented meet the fit-for-discharge criteria | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Postoperative pain measured using numerical rating scale at 6 hours and 12 hours post operation 2. Readmission rate within 30 days, follow up subject until 30 days post operation 3. Postoperative complications defined according to Clavien-Dindo classification from post operation till 1 month post operation | — |
Countries
Malaysia