Enhanced Recovery After Surgery (ERAS) in Patients Undergoing Gynecologic Surgery
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorNational Taiwan University Hospital
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Design model
Parallel
Treatments tested in this trial
Enhanced Recovery After Surgery (ERAS)
Other interventionA multidisciplinary perioperative care program designed to reduce surgical stress and enhance postoperative recovery.
Conventional Perioperative Care
Other interventionStandard perioperative care according to routine institutional practice.
Treatment groups
200 Participants
are divided into 2 treatment groupsGroup A: Enhanced Recovery After Surgery (ERAS)Experimental treatment 1 intervention
Group B: Conventional Perioperative CareActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Time to First Ambulation
Time from return to the hospital ward after surgery to the first ambulation, defined as leaving the bed and standing independently.
Time frame
Up to 3 days after surgery2
Postoperative Pain Score
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.
Time frame
4, 8, 16, 24, 48 hours after surgerySecondary outcomes
1
Time to First Gas Passage
Time frame
Up to 7 days after surgery2
Time to First Stool Passage
Time frame
Up to 7 days after surgery3
Time to removal of Foley catheter
Time frame
Up to 7 days after surgery4
Postoperative nausea or vomiting
Time frame
Up to 7 days after surgerySponsors and contacts
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Source ClinicalTrials.gov