At a glance
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Implementation of a Rapid Recovery Program in Gynecologic Oncology Surgery: A Pilot Study
In Brief
A Early Phase 1 clinical trial evaluating Laparotomy, intravenous narcotics, and 3 other interventions for Cervical Cancer and 2 related conditions. Completed, enrolled 103 participants across 1 site.
Detailed Summary
Over 600,000 hysterectomies are performed annually in the United States. Despite increasing use of less invasive approaches, the majority of hysterectomies are still performed via traditional laparotomy, which can be associated with generally slower recovery and longer lengths of post-operative hospitalization. Rapid Recovery Protocols (RRP) seek to optimize post-surgical morbidity outcomes by returning a patient to normal physiology as quickly as possible following surgery.
Study Details
Timeline
Interventions
Exploratory surgery for gynecologic diagnosis.Involves pre-operative counseling, the use of regional anesthesia (spinal or epidural pain management rather than intravenous narcotics), early eating after surgery, early walking, and certain goals for discharge from the hospital
given for pain management after surgery per physician orders
inhalant or intravenous during surgery
given by spinal or epidural infusion
given for pain management after surgery