Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Fast-track Surgery After Gynaecological Oncological Surgery
Brief Summary: Fast-track surgery (FTS) pathway, also known as enhanced recovery after surgery (ERAS), FTS is a multidisciplinary approach aiming to accelerate recovery, reduce complications, minimize hospital stay without an increased readmission rate and reduce healthcare costs, all without compromising patient safety. It has been used successfully in non-malignant gynecological surgery, but it has been proven to be especially effective in elective colorectal surgery. However, no consensus guideline has been developed for gynecological oncology surgery although surgeons have attempted to introduce slightly modified FTS programmes for patients undergoing such surgery. NO randomised controlled trials for now.

The advantages of fast-track most likely extend to gynecology, although so far have scarcely been reported. There is a existing research showed FTS in gynecological oncology provide early hospital discharge after gynaecological surgery meanwhile with high levels of patient satisfaction.

The aim of this study is to identify patients following a FTS program who have been discharged earlier than anticipated after major gynaecological/gynaecological oncologic surgery and analyze the complication after surgery.


Options:
A: Arm Label: FAST-TRACK Group; Type: EXPERIMENTAL; Interventions: Procedure: Fast-Track Protocol | Arm Label: Classical management group; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Usual management | Intervention Type: PROCEDURE; Name: Fast-Track Protocol; Assigned to Arm(s): FAST-TRACK Group | Intervention Type: PROCEDURE; Name: Usual management; Assigned to Arm(s): Classical management group
B: Arm Label: Fast-track Surgery; Type: EXPERIMENTAL; Interventions: Procedure: pre-operative assessment, counseling and education, Procedure: Preoperative nutritional drink up to 4 h prior to surgery, Procedure: bowel preparation, Procedure: preoperative treatment with carbohydrates, Procedure: fast solid, Procedure: avoiding hypothermia, Procedure: Postoperative glycaemic control, Procedure: postoperative nausea and vomiting (PONV) control;, Procedure: early postoperative diet | Arm Label: Traditional surgery; Type: OTHER; Interventions: Procedure: pre-operative fasting at least 8h, Procedure: bowel preparation for traditional surgery, Procedure: began to take solid diet after anal exhaust | Intervention Type: PROCEDURE; Name: pre-operative assessment, counseling and education; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: Preoperative nutritional drink up to 4 h prior to surgery; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: bowel preparation; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: preoperative treatment with carbohydrates; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: fast solid; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: avoiding hypothermia; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: Postoperative glycaemic control; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: postoperative nausea and vomiting (PONV) control;; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: early postoperative diet; Assigned to Arm(s): Fast-track Surgery | Intervention Type: PROCEDURE; Name: pre-operative fasting at least 8h; Assigned to Arm(s): Traditional surgery | Intervention Type: PROCEDURE; Name: bowel preparation for traditional surgery; Assigned to Arm(s): Traditional surgery | Intervention Type: PROCEDURE; Name: began to take solid diet after anal exhaust; Assigned to Arm(s): Traditional surgery
C: Arm Label: 1; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Total Abdominal Hysterectomy | Arm Label: 2; Type: EXPERIMENTAL; Interventions: Procedure: Total Laparoscopic Hysterectomy | Intervention Type: PROCEDURE; Name: Total Abdominal Hysterectomy; Assigned to Arm(s): 1 | Intervention Type: PROCEDURE; Name: Total Laparoscopic Hysterectomy; Assigned to Arm(s): 2
D: Arm Label: Standard Perioperative (SP) care; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: ERAS protocol; Type: EXPERIMENTAL; Interventions: Other: Changes in preoperative care, Other: Changes in intraoperative care, Other: Changes in postoperative care | Intervention Type: OTHER; Name: Changes in preoperative care; Assigned to Arm(s): ERAS protocol | Intervention Type: OTHER; Name: Changes in intraoperative care; Assigned to Arm(s): ERAS protocol | Intervention Type: OTHER; Name: Changes in postoperative care; Assigned to Arm(s): ERAS protocol

Answer: B