Fast-track Giant Ventral Hernia Repair
Maneno muhimu
Kikemikali
Maelezo
All patients operated on for a large incisional hernia are treated according to the study protocol. Patients are given high-dose glucocorticoid preoperative and the aim is to discharge patients at postoperative day 3.
Morbidity, length of stay, pain, nausea and pulmonary function are among registered outcomes compared with a historic control group.
Tarehe
| Imethibitishwa Mwisho: | 08/31/2015 |
| Iliyowasilishwa Kwanza: | 11/10/2014 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 11/26/2014 |
| Iliyotumwa Kwanza: | 12/01/2014 |
| Sasisho la Mwisho Liliwasilishwa: | 09/02/2015 |
| Sasisho la Mwisho Lilichapishwa: | 09/06/2015 |
| Tarehe halisi ya kuanza kwa masomo: | 11/30/2014 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 06/30/2015 |
| Tarehe ya Kukamilisha Utafiti: | 06/30/2015 |
Hali au ugonjwa
Uingiliaji / matibabu
Other: Fast-track group
Awamu
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Fast-track group Patients treated according to the enhanced recovery pathway. This group is examined prospectively. | Other: Fast-track group Enhanced recovery after surgery pathway. Postoperatively, a set of well-defined discharge criteria will be assessed daily at 9:00 and 15:00, as well as pain, nausea, time to flatus, saturation and drain production. |
| Control group Patients treated according to the historic recovery pathway. This group is examined retrospectively. |
Vigezo vya Kustahiki
| Jinsia Inastahiki Kujifunza | All |
| Njia ya sampuli | Non-Probability Sample |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria: - Horizontal fascia defect > 10 cm on computed tomography scan - Planned elective open incisional hernia repair Exclusion Criteria: - Known allergy against glucocorticoid treatment - Insulin-treated diabetes - Gastric ulcer diagnosed within four weeks preoperative - Steroid-treated immune disease - Planned intestinal anastomosis concomitant to hernia repair |
Matokeo
Hatua za Matokeo ya Msingi
1. Time to discharge [Participants will be followed for the duration of hospital stay, an expected average of 72 hours]
Hatua za Matokeo ya Sekondari
1. Fatigue [Preoperative and for the duration of hospital stay, an expected average of 3 days]
2. Pain from supine to standing [Preoperative and for the duration of hospital stay, an expected average of 3 days]
3. Pain when walking 6 meters [Preoperative and for the duration of hospital stay, an expected average of 3 days]
4. Nausea [Preoperative and for the duration of hospital stay, an expected average of 3 days]
5. Time to bowel function [For the duration of postoperative hospital stay, an expected average of 72 hours]
6. Vomiting episodes [Participants will be followed for the duration of hospital stay, an expected average of 3 days]
7. Continuous transcutaneous saturation [From surgery to postoperative day 3 at 12 pm]
8. C-reactive protein from venous blood sample [Preoperative and for the duration of hospital stay, an expected average of 3 days]
9. Ear temperature [Preoperative and for the duration of hospital stay, an expected average of 3 days]
10. Detailed reason for not being discharged if criteria are otherwise fulfilled [From surgery and for the duration of hospital stay, an expected average of 3 days]
11. Daily wound drain production [From surgery and for the duration of hospital stay, an expected average of 3 days]
