ERAS, Gynecologic Surgery, Gynecologic Oncological Pelvic/Abdominal Surgery
Conditions
Brief summary
Enhanced Recovery After Surgery (ERAS) is a multidisciplinary perioperative care program designed to reduce surgical stress, accelerate postoperative recovery, and improve clinical outcomes. This prospective, non-randomized study aims to evaluate the effectiveness of an ERAS program in patients undergoing gynecologic surgery at National Taiwan University Hospital Hsin-Chu Branch. Patients who choose to participate in the ERAS program will receive perioperative care according to the institutional ERAS protocol, while those who choose conventional perioperative care will serve as the comparison group. Perioperative outcomes, postoperative recovery, postoperative complications, pain scores, and other clinical outcomes will be compared between the two groups to evaluate the clinical impact of implementing an ERAS program.
Interventions
A multidisciplinary perioperative care program designed to reduce surgical stress and enhance postoperative recovery.
Standard perioperative care according to routine institutional practice.
Sponsors
National Taiwan University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female scheduled for laparotomic gynecologic surgery (including hysterectomy, myomectomy, adenomyomectomy, oophorectomy or oophrocystectomy, staging surgery, debulking surgery or interval debulking surgery) * 18 years old or older * American Society of Anesthesiologists Physical Status classification I to III.
Exclusion criteria
* Female undergo laparoscopic surgery but are converted to laparotomic surgery * History of delayed gastric emptying, gastrointestinal motility disorders or chronic pain * Female undergo emergent surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to First Ambulation | Up to 3 days after surgery | Time from return to the hospital ward after surgery to the first ambulation, defined as leaving the bed and standing independently. |
| Postoperative Pain Score | 4, 8, 16, 24, 48 hours after surgery | Postoperative pain intensity will be assessed using the Numerical Rating Scale (NRS), ranging from 0 to 10, with 0 indicating no pain and 10 indicating the worst possible pain. Higher scores indicate greater pain intensity. |
Secondary
| Measure | Time frame |
|---|---|
| Time to First Gas Passage | Up to 7 days after surgery |
| Time to First Stool Passage | Up to 7 days after surgery |
| Time to removal of Foley catheter | Up to 7 days after surgery |
| Postoperative nausea or vomiting | Up to 7 days after surgery |
| Overall Postoperative Complication Rate | Up to 90 days after surgery |
| Length of Hospital Stay | Up to 14 days after surgery |
Countries
Taiwan
Contacts
CONTACTChia-Yi Lee, MD
PRINCIPAL_INVESTIGATORChia-Yi Lee, MD
National Taiwan University Hospital Hsin-Chu Branch
Outcome results
None listed