Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Ensayo clínico Comparando Recuperación Postoperatoria Tras Protocolo FAST- TRACK Vs. Manejo Clásico en Cáncer de Ovario Avanzado
Brief Summary: The concept of Fast-trak or Enhanced Recovery After Surgery ( ERAS) represents a new approach to the management of patients undergoing major surgery that re-examine traditional practices, replacing them if necessary with the best evidence based practices, creating a multimodal perioperative care pathway designed to achieve early recovery. In Colorectal Cancer Surgery , as well as in a number of other procedures it has been shown to reduce Hospitalization by more than 30% without increasing the rate complications or readmissions.

However information on the results of Fast-track protocols when applied to Gynecological patients is sparse, being especially notorious the lack of data regarding the efficacy of Fast-track in the management of Advanced Gynecological cancer.

Hypothesis: the application of a Fast-Track protocol in the management of patients with advanced Ovarian Cancer( Stage III, IV and relapses) may improve the postoperatory recovery of these patients allowing for an early discharge and significant cost reduction, when compared with de usual management, without increasing the number readmission or surgery related complications.


Options:
A: 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
B: 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
C: Arm Label: Control Group (Standard Laparotomy); Type: ACTIVE_COMPARATOR; Interventions: Procedure: Laparotomy, Drug: intravenous narcotics, Drug: standard anesthesia | Arm Label: Rapid Recovery Group; Type: EXPERIMENTAL; Interventions: Procedure: Laparotomy, Drug: regional anesthesia, Drug: Non-steroidal anti-inflammatory drugs | Intervention Type: PROCEDURE; Name: Laparotomy; Assigned to Arm(s): Control Group (Standard Laparotomy), Rapid Recovery Group | Intervention Type: DRUG; Name: intravenous narcotics; Assigned to Arm(s): Control Group (Standard Laparotomy) | Intervention Type: DRUG; Name: standard anesthesia; Assigned to Arm(s): Control Group (Standard Laparotomy) | Intervention Type: DRUG; Name: regional anesthesia; Assigned to Arm(s): Rapid Recovery Group | Intervention Type: DRUG; Name: Non-steroidal anti-inflammatory drugs; Assigned to Arm(s): Rapid Recovery Group
D: 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

Answer: B