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مقالات فارسیISIکنفرانسهاژورنالها

Comparing the Outcomes of Fast-Track Hysterectomy and Routine Abdominal Hysterectomy

محل انتشار: فصلنامه زنان و مامایی و سرطانهای زنان، دوره: 7، شماره: 3
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 204

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لینک ثابت به این مقاله:
https://civilica.com/doc/1385632

شناسه ملی سند علمی:

JR_JOGCR-7-3_004

تاریخ نمایه سازی: 6 بهمن 1400

چکیده مقاله:

Background & Objective: Hysterectomy is one of the major gynecologic operations. This procedure can be performed by different methods including abdominal, vaginal, and laparoscopic hysterectomy. In fast-track hysterectomy (FTH), patients do not receive opioids during surgery and there is no need for a ۱۲-hour pre-surgery hospitalization. Patients are encouraged to eat and move at most ۶ hours after operation. This study was performed to compare the outcomes of FTH with those of routine abdominal hysterectomy (RAH). Materials & Methods: This case-control pilot study was carried out on ۸۲ candidates for hysterectomy at Kowsar Training Hospital in Qazvin, Iran, during ۲۰۱۶. Patients were divided into two randomized groups of FTH and RAH. Parameters such as pain visual analogue scale (VAS) after ۳, ۶, ۱۲, and ۲۴ hours, diet tolerance, analgesic dose, postoperative nausea and vomiting, hospital stay, postoperative adverse effects, gas passing time, and readmission were investigated and compared between two groups. Results: Analgesic use, gas passing time, and hospital stay were significantly lower in the FTH group (P=۰.۰۰۰۱). While postoperative nausea and vomiting, adverse effects, food tolerance, and readmission rate were the same in both groups (P>۰.۰۵). Moreover, diet tolerance was observed in all patients. In general, pain VAS was lower in FTH with significant difference at ۳rd (P=۰.۰۰۲) and ۱۲th (P=۰.۰۰۱) hours, and at suture removal time (P=۰.۰۲۶). Conclusion: It can be concluded that FTH may result in reduced pain, analgesic use, gas passing time, and hospital stay in comparison with RAH.

کلیدواژه ها:

Hysterectomy ، Pain Management ، Hospitalization ، Case-Control

نویسندگان

Khadijeh Elmizadeh

Department of Obstetrics and Gynecology, Qazvin University of Medical Sciences, Qazvin, Iran

Misa Naghdipour

Department of Obstetrics and Gynecology, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Fatemeh Lalooha

Department of Obstetrics and Gynecology, Qazvin University of Medical Sciences, Qazvin, Iran

Seyedeh Masoomeh Hosseini Valmi

Department of Anesthesiology, Qazvin University of Medical Sciences, Qazvin, Iran

Ali Massoudifar

Department of Psychiatry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Marzieh Sarafraz

Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

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  • Gorlero F, Lijoi D, Biamonti M, Lorenzi P, Pullè A, ...
  • Persson P, Hellborg T, Brynhildsen J, Fredrikson M, Kjølhede P. ...
  • Köhler C, Hertel H, Herrmann J, Marnitz S, Mallmann P, ...
  • Dedden SJ, Geomini PM, Huirne JA, Bongers MY. Vaginal and ...
  • Lundin ES, Carlsson P, Wodlin NB, Nilsson L, Kjölhede P. ...
  • Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, ...
  • Jin J, Min S, Peng L, Du X, Zhang D, ...
  • Louie M, Strassle PD, Moulder JK, Dizon AM, Schiff LD, ...
  • Ramdhan RC, Loukas M, Tubbs RS. Anatomical complications of hysterectomy: ...
  • Shehmar M, Gupta J. The influence of psychological factors on ...
  • Ammianickal PL, Thangaswamy CR, Balachander H, Subbaiah M, Kumar NP. ...
  • REHMAN B, Farooqi A. Analgesic efficacy of pre-emptive oral flupirtine ...
  • Wijk L. Enhanced Recovery After Hysterectomy: Örebro University; ۲۰۱۷ ...
  • Carter J, Szabo R, Sim WW, Pather S, Philp S, ...
  • Varadhan KK, Lobo DN, Ljungqvist O. Enhanced recovery after surgery: ...
  • Kjølhede P, Langström P, Nilsson P, Wodlin NB, Nilsson L. ...
  • Wilmore DW, Kehlet H. Management of patients in fast track ...
  • Nüssler EK. Surgical quality control of minimally invasive procedures, fast-track ...
  • Kehlet H. Fast-track colorectal surgery. The Lancet. ۲۰۰۸;۳۷۱(۹۶۱۵):۷۹۱-۳ ...
  • White PF, Kehlet H, Neal JM, Schricker T, Carr DB, ...
  • Holte K, Kehlet H. Fluid therapy and surgical outcomes in ...
  • Wind J, Polle S, Fung Kon Jin P, Dejong C, ...
  • Nawaz S, Mushtaq N. Outcome of Fast Track Surgery (FTS) ...
  • Kroon U-B, Rådström M, Hjelthe C, Dahlin C, Kroon L. ...
  • Shi X, Cui L, Zhang G, Shi Y, Wang D, ...
  • Shetty J, Gupta KS, Shetty A, Singh U, Kumar HA, ...
  • Cui L, Shi Y, Zhang G. Fast-track surgery after gynaecological ...
  • Borendal Wodlin N, Nilsson L, Kjølhede P, group Gs. Fast ...
  • Nilsson L, Wodlin NB, Kjölhede P. Risk factors for postoperative ...
  • Balayla J, Bujold E, Lapensée L, Mayrand M-H, Sansregret A. ...
  • Tavasouli F, Tavasoli Ar, Vahid rf, Tavassoli s. A comparison ...
  • Lin E, Calvano SE, Lowry SF. Systemic response to injury ...
  • Ashrafganjoei T, Khosravi D. Fallopian Tube Prolapse After Hysterectomy: A ...
  • Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral ...
  • Fanning J, Hojat R. Safety and efficacy of immediate postoperative ...
  • Whitehead WE, Bradley CS, Brown MB, Brubaker L, Gutman RE, ...
  • Minig L, Chuang L, Patrono MG, Fernandez‐Chereguini M, Cárdenas‐Rebollo JM, ...
  • Patolia DS, Hilliard Jr RL, Toy EC, Baker III B. ...
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