Impact of an Improved Rehabilitation Program After a Scheduled Hysterectomy.

Study Overview
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Brief Summary
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It is an observational study, prospective in order to assess the impact of the implementation of an early rehabilitation program on post-operative recovery. this is measured by the qOR15 questionnaire in patients operated on for a programmed hysterectomy, it takes place in the gynecology department of the CHR Metz-Thionville hospital.

Detailed Description
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This program implemented will comply with HAS recommendations. The only change in management for patients participating in the study is the completion of the self-questionnaire QOR-15 on D-1 (the day before surgery), D0 (the day of the surgery) and D1 (the day after the surgery). It is planned to include 74 patients before the implementation of the early rehabilitation protocol and 74 patients after the implementation of the early rehabilitation protocol. The total duration of inclusion is established at 18 months. The measures applied should improve the patient's well-being and accelerate his return to normal life and therefore reduce the length of his stay.

Official Title
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Impact of an Improved Rehabilitation Program After a Scheduled Hysterectomy.

Conditions
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Post-Op Complication

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Indication of a scheduled hysterectomy Presence of a utero-ovarian affection, deemed resectable and requiring a regulated hysterectomy (outside the context of the emergency) associated or not with pelvic or lumbar-aortic dissection. classified ASA 1 to 3 informed about the principles of improved rehabilitation by the surgeon and the anesthesiologist + written document (accessible on the site www.grace-asso.fr). able to return home after discharge from the hospital, having a telephone and being able to contact their doctor or the service if necessary or transferred to a convalescent home at their request. Exclusion Criteria: Patients included in another study Refusal to use data by the patient Inability to respond to self-questionnaires due to cognitive impairment, difficulties in reading or understanding the French language Patients included in another study Patients with severe or unbalanced associated conditions

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of the QoR-15 score D1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall duration of the hospital stay D-1 | Overall duration of the hospital stay in days | One day before surgery | 
| Overall duration of the hospital stay day of discharge from hospital | Overall duration of the hospital stay in days | Up to 30 days | 
| Duration of fasting pre and post-operative | Duration of fasting pre and post-operative in hours | Up to 30 days | 
| Post-operative nausea / vomiting Day 0 | Occurrence of nausea / vomiting postoperative (yes / no) | Day of surgery | 
| Post-operative nausea / vomiting D+1 | Occurrence of nausea / vomiting postoperative (yes / no) | One day after surgery | 
| Post-operative nausea / vomiting day of hospital discharge | Occurrence of nausea / vomiting postoperative (yes / no) | Up to 30 days | 
| Intraoperative maximum Visual Analog Scale (VAS) on day 0 | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | day 0 | 
| Intraoperative maximum visual analog scale (VAS) on day 1 | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | One day after surgery | 
| Intraoperative maximum visual analog scale (VAS) on day of discharge from hospital | Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible) | Up to 30 days | 
| Time to return gastrointestinal function | Transit recovery time in hours | Up to 30 days | 
| Enhancement of gastrointestinal motility on Day 0 | Whether or not chewing gum is taken (yes/no) | day 0 | 
| Enhancement of gastrointestinal motility on day 1 | whether or not chewing gum is taken (yes/no) | One day after surgery | 
| Enhancement of gastrointestinal motility on the day of discharge from the hospital | whether or not chewing gum is taken (yes/no) | Up to 30 days | 
| Presence of a urinary catheter or drain in postoperative | Presence of a urinary catheter or drain in postoperative (yes / no) | day 0 | 
| Time before first standing | Time before first standing in hours | Up to 30 days | 
| occurrence of postoperative complications | occurrence of postoperative complications (resumption of surgery at 30 days) | day 30 | 
| Evaluation of the QoR-15 score D0 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | Day 0 | 
| Evaluation of the QoR-15 score D-1 | The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant. | Day -1 | 
| Rate of laparotomy | percentage | day 0 | 
| Mobility on day 0 | The time between the end of surgery and the first time to get up in hours, | day 0 | 
| Mobility on day 1 | The time between the end of surgery and the first time to get up in hours | One day after surgery | 
| Mobility on the day of discharge from the hospital | The time between the end of surgery and the first time to get up in hours | Up to 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hysterectomy, post operative