Benign gynecologic conditions requiring open transabdominal hysterectomy (TAH) Enhanced Recovery After Surgery (ERAS), Open Benign Gynecologic Surgery, Transabdominal Hysterectomy (TAH), Length of Hospital Stay (LOS), Postoperative Recover, Randomized Controlled Trial (RCT)
Conditions
Interventions
ERAS protocols should be structured around three major phases: preoperative, intraoperative, and postoperative care. Preoperative strategies focus on patient education, optimization of comorbidities,
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
ERAS intervention ,standard perioperative care
Sponsors
Lampang Hospital, Thailand
Eligibility
Sex/Gender
Female
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Adult female patients aged 18-65 years 2. Undergoing open transabdominal hysterectomy (TAH) for benign gynecologic conditions (e.g., Myoma uteri, Adenomyosis, Endometriosis, Ovarian tumor) 3. Patients with an American Society of Anesthesiologists (ASA) physical status classification I-II 4. Patients who capable of giving informed consent and following ERAS protocol
Exclusion criteria
Exclusion criteria: 1. Emergency surgeries (e.g., For twisted, hemorrhage, or ruptured) 2. Pregnant patients 3. Patients with pre-existing bowel obstruction or significant gastrointestinal motility disorders 4. Patients with history of hypersensitivity or contraindication to NSAIDs 5. Patients with history of chronic opioids or substances use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of Stay (LOS) the time interval starting from the patient is entry into the operating room (Time in) until the time when the patient fulfills all predefined discharge criteria Days | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first oral intake the time interval starting from the patient is entry into the operating room (Time in) until the time when the patient tolerates oral fluids or the soft or regular diet Hours,Time to first flatus or defecation the time interval starting from the patient is entry into the operating room (Time in) until the time when the patient is first flatus or first defecation (whichever occurs first) Hours,Time to first ambulation the time interval starting from the patient is entry into the operating room (Time in) until the time when the patient is able to sit out of bed or walk independently or with minimal assistance Hours,Postoperative pain scores at 6, 24 and 48 hr postoperatively Visual Analogue Scale (VAS),Postoperative nacrotic consumptions Cumulative postoperative opioid consumption until the patient meets standardized discharge criteria Morphine milligram equivalent, mg,Postoperative complications Within 30 days after surgery Clavien-Dindo classification,Hospital re-visit and re-admission Within 30 days after surgery Incidence of hospital revisit or readmission. Data will be collected from electronic medical records,Patient satisfaction at discharge At the time of hospital discharge 5-point Likert scale | — |
Countries
Thailand
Contacts
Public ContactNapitch Leelathanapipat
Lampang Hospital
Outcome results
None listed