Postoperative Complications Clinical Trial
Official title:
Fast-track Surgery After Gynaecological Oncological Surgery
Fast-track surgery (FTS) pathway, also known as enhanced recovery after surgery (ERAS), FTS
is a multidisciplinary approach aiming to accelerate recovery, reduce complications, minimize
hospital stay without an increased readmission rate and reduce healthcare costs, all without
compromising patient safety. It has been used successfully in non-malignant gynecological
surgery, but it has been proven to be especially effective in elective colorectal surgery.
However, no consensus guideline has been developed for gynecological oncology surgery
although surgeons have attempted to introduce slightly modified FTS programmes for patients
undergoing such surgery. NO randomised controlled trials for now.
The advantages of fast-track most likely extend to gynecology, although so far have scarcely
been reported. There is a existing research showed FTS in gynecological oncology provide
early hospital discharge after gynaecological surgery meanwhile with high levels of patient
satisfaction.
The aim of this study is to identify patients following a FTS program who have been
discharged earlier than anticipated after major gynaecological/gynaecological oncologic
surgery and analyze the complication after surgery.
Methods/Design
Comparison of Fast-Track (FT) and traditional management protocols. the primary endpoints is
length of hospitalization post-operation (d, mean±SD). It was calculated by the difference
between date of discharge and date of surgery. The secondary endpoints are complications in
both groups are assessed during the first 21 days postoperatively. Including infection(wound
infection, lung infection, intraperitoneal infection, operation space infection),
postoperative nausea and vomiting (PONV) , ileus, postoperative hemorrhage, postoperative
thrombosis and APACHE II score.
The advantages of fast-track most likely extend to gynecology, although so far have scarcely
been reported. NO randomised controlled trials for now. The aim of this study is to compare
the LOS (Length of hospitalization post-operation) after the major
gynaecological/gynaecological oncologic surgery and analyze the complication after surgery.
This trial can show whether the FTS program can achieve early hospital discharge after
gynaecological surgery meanwhile with low levels of complications.
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