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Phase 4 N=180 Randomized Supportive Care

Effects of General Anesthesia and Spinal-Morphine Anesthesia on Recovery and Comfort After Benign Abdominal Hysterectomy

Hysterectomy (MeSH nr: E04.950.300.399)

Enrolled (actual)
180
Serious AEs
9.4%
Results posted
Dec 2011
Primary outcome: Primary: Duration of Hospital Stay. — 46; 50 Hours

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Bupivacain (Drug); Morphine (Drug); Propofol (Drug); Fentanyl (Drug); Rocuronbromid (Drug)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
Preben Kjolhede
Primary completion
Jun 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Duration of Hospital Stay.
46; 50
SECONDARY
Occurrence and Degree of Postoperative Symptoms.
SECONDARY
Postoperative Consumption of Analgesics and Antiemetics.
SECONDARY
Complications and Complication Rates.
SECONDARY
Quality of Life and QALYs (Quality Adjusted Life Years).
SECONDARY
Sick Leave.
SECONDARY
The Stress Coping Ability Impact on Postoperative Symptoms and Recovery.
SECONDARY
Health-related Economy.

Summary

The purpose of this study is to determine whether spinal anesthesia combined with intrathecal morphine in abdominal hysterectomy on benign gynecological indications gives better outcome concerning duration of hospital stay and postoperative patient comfort than general anesthesia.

Eligibility Criteria

Inclusion Criteria

  • Female between 18 and 60 years of age.
  • Scheduled for abdominal hysterectomy - total or subtotal -on benign gynecological indication.
  • At least one ovary planned to be preserved at the hysterectomy.
  • Can understand and communicate in Swedish
  • Accept participation after written and verbal information and after signed informed consent.
  • Has supervision at home after discharge from hospital during the first couple of days and has access to a telephone.

Exclusion Criteria

  • Contra-indications against spinal or general anesthesia or the standard dosage of the study drugs
  • ASA classification ≥ Class 3
  • Postmenopausal women without HRT (hormone replacement therapy).
  • Suspected gynecological malignancy
  • Previously undergone bilateral oophorectomy
  • Substantial physically disabled so that a normal recovery with early physical mobilization can not be anticipated.
  • Mentally or severly psychic disabled
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00527332). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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