Enhanced Recovery After Surgery, Laparoscopic Sleeve Gastrectomy, Nausea, Postoperative, Pain, Postoperative, Vomiting, Postoperative
Conditions
Brief summary
Patients with BMI \>35 and chronic diseases or BMI \>40 will be scheduled to receive Laparoscopic Sleeve Gastrectomy (LSG). Two groups are planned according to receive Enhance recovery after surgery (ERAS) protocol or not. All participants will receive standard LSG. Participants of ERAS will receive anesthesia and post-surgical nutrition protocol which are determined for ERAS. All patients will be checked for status of pain with VAS score, nausea and vomiting with PONV score at postoperative 2nd hour, 12th hour. In ERAS group liquid oral intake will be started between postoperative 2nd and 4th hours. In no ERAS group liquid oral intake will be started in the morning of postoperative first day. The patients who provides discharge criterias will be discahrged. these criterias are; To provide adequate pain relief with paracetamol and nonsteroidal painkillers, No wound problem, No complications after surgery, Pulse rate \<90 beats / min, temperature ≤ 37 · 5 ° C, respiratory rate, \<20 breaths / minute, To be able to mobilize easily, To be able to drink 1 liter of water after surgery. Emergency admissions of the participants within a month after surgery will be recorded.
Interventions
OTHERERAS
early mobilisation, early oral intake, early discharge
Sponsors
Umraniye Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Patients
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* must be performed laparoscopic sleeve gastrectomy * body mass index \> 35 with a comorbidıty or ,body mass index \> 40
Exclusion criteria
* surgery with peroperative complication * revision surgery applications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| length of hospital stay | till discharge, an average of 36 hours | the time (in hours) from the start of surgery to the discharge of patients in both groups |
| number of emergency re-admission after surgery | during postoperative first 30 days | number of emergency re-admission after surgery due to complications or patients discomfort |
| Score of Visual analog scale | postoperative 24 hours | VAS scores that evaluate postoperative pain in both groups will be compared (minimum score 0, maxımum score 10 and higher scores mean a worse outcome) |
Outcome results
None listed