About this trial
This prospective randomized controlled clinical trial aims to evaluate the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing elective hysterectomy. ERAS is an evidence-based perioperative approach designed to reduce surgical stress, accelerate recovery, and improve clinical outcomes. Participants will be randomized to receive either ERAS-based care or conventional perioperative management. The study will assess whether ERAS implementation reduces hospital stay and improves postoperative recovery without increasing complications.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged 18-70 years.
Undergoing elective total hysterectomy for benign or early stage malignant gynacological conditions .
ASA ( American Society of Anesthesiologists ) physical status I-II.
Able to provide informed consent.
Disqualifiers
Emergency hysterectomy
Advanced malignant requiring extensive debulking
Known bowel disease or previous bowel surgery ( crohn's disease , bowel obstruction )
Significant cognitive impairment or psychiatric illness
Trial design
Parallel
Treatments tested in this trial
dextrose (5%)
DrugIV dextrose infusion (5%) 500 ml once ,2-3 hours before anesthesia
ERAS protocols
Procedure/SurgeryReduced fasting Early oral feeding Early mobilization
Treatment groups
Trial outcomes
Primary outcomes
length of hospital stay (LOS)
Time from completion of surgery to hospital discharge readiness, measured in days.
Secondary outcomes
postoperative pain score
Postoperative pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 (no pain) to 10 (worst imaginable pain).
time to first bowel movement
the interval (in hours) from completion of surgery to the first documented passage of stool."
Sponsors and contacts
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