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Recruiting NCT06820359

Bowel Preparation in Minimally Invasive Gynecologic Surgery

No phase Interventional Gynecologic Disease

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Bowel Preparation, No bowel preparation.
Who it may be relevant to
Registry conditions: Gynecologic Disease. Basic parameters: from 18 years · Female.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

Investigating the Necessity of Bowel Preparation in Minimally Invasive Gynecologic Surgery

Overview

This is a prospective randomized study of patients who are scheduled to undergo minimally invasive robotic gynecologic surgery. Patients will be randomized to require either pre-surgical bowel preparation vs. no bowel preparation. The effect of bowel preparation on intraoperative visualization, bowel handling, intestinal load and ease of surgery will be assessed. Patient comfort and satisfaction will be assessed.

Detailed description

Bowel preparation prior to gynecologic surgery is a common practice based more on assumptions than evidence. Expert opinion rules over evidence regarding its utility and necessity. The objective of this study is to determine if there is an association between the use of bowel preparation in minimally invasive gynecologic surgery and the ease of the surgery. This is a randomized controlled trial of adult patients of Dr. Muhammad Aslam who are scheduled to undergo minimally invasive robotic gynecologic surgery at Henry Ford St. John Hospital and Henry Ford Macomb-Oakland Hospital-Warren Campus. Patients will be randomly assigned to receive or not receive instructions to perform bowel preparation one day prior to surgery using an over-the-counter Fleet® saline enema. Data to be collected include demographics, body mass index (BMI), parity, and surgical history. Data collection from patients will be performed on postoperative day one prior to discharge from the hospital. Data collection will include patient satisfaction with having to use or not using bowel preparation for surgery and pain control. Dr. Aslam will complete a survey following each surgery about intraoperative visualization, bowel handling, intestinal load, and the overall ease of surgery. According to the power analysis, at least 75 subjects will be needed in each group, for a total of 150. To account for attrition, the sample size will be inflated by 10% plus an additional one subject, to maintain an even number of subjects (166 subjects). Three hundred patients may need to be initially screened to obtain 166. Univariable analysis of factors associated with the bowel preparation group will be assessed using Student's t-test and chi-squared analysis. Multivariable analysis of acceptable bowel preparation will be done using logistic regression.

Interventions

  • Other Bowel Preparation
    Individuals will perform a bowel preparation using a Fleet saline enema.
  • Other No bowel preparation
    Subjects will not be required to perform bowel preparation before surgery.

Primary outcome measures

  • Physician reported ease of surgery [Time frame: Immediately following surgery]
  • Number of patients with a hospital readmission between discharge and 12 weeks post-discharge. [Time frame: From discharge from the hospital for the surgery and 12 weeks post-discharge from the hospital for the surgery]
  • Number of patients with a urinary tract infection between discharge from the hospital for the surgery and 12 weeks post-discharge from the hospital for the surgery [Time frame: Between discharge from the hospital for the surgery and 12 weeks post-discharge from the hospital for the surgery]
  • Number of surgical site infections between discharge and 12 weeks post-discharge. [Time frame: Between discharge from the hospital for the surgery and 12 weeks post-discharge from the hospital for the surgery]
  • Patient satisfaction prior to surgery [Time frame: Day of surgery, prior to surgery]
  • Patient level of pain prior to surgery [Time frame: Day of surgery before surgery.]
  • Patient post-surgery evaluation [Time frame: Post surgical day one]

Eligibility criteria

Inclusion criteria

  • Scheduled to undergo minimally invasive robotic gynecologic surgery;
  • Age 18 years and above
  • Willing to perform an enema if randomized to the enema group
  • Able to read and understand English
  • Willing to sign an informed consent form

Exclusion criteria

  • Scheduled for open surgery
  • Younger than 18 years of age
  • Unwilling to perform an enema if randomized to the enema group
  • Unable to read and understand English
  • Unwilling to sign an informed consent form

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Other

Study locations

United States · 2 centers
  • Henry Ford St. John Hospital — Detroit
  • Henry Ford Macomb-Oakland Hospital, Warren Campus — Warren

Identifiers

NCT: NCT06820359 · 17828

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗