Appropriated Bowel Preparation Before Exploratory Laparotomy in Gynecologic Surgery

Study Overview
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Brief Summary
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Our study perform In Department of Gynecology, Faculty of Medicine, Chiang Mai University. In our study we divide patients into 3 groups ,First group patients doing Soap suds enema (S.S.E.), second group patients doing sodium chloride enema and the last group patient Non per os (NPO) before surgery. Our hypothesis is no different about surgical view in 3 groups and lower side effects in patients in no bowel preparation group. Research objectives Comparing the surgeon satisfaction ,surgical view and bowel handling in operation of soap suds enema group, sodium chloride enema group and the NPO group in patients under going exploratory laparotomy in gynecologic surgery. Comparing the side effects of soap suds enema group, sodium chloride enema group and the NPO group. Inclusion Criteria 1. Women under going laparotomy in gynecologic surgery 2. Surgeon consider not too difficult surgery. 3. Can understanding Thai language. 4. Can communicate with researcher. 5. Consenting participants. Exclusion Criteria Pregnancy or suspected pregnancy. Laparoscopic surgery Do not consent to participate in research Gastrointestinal infection Underlying disease such as Intestinal disease, patient who cannot under going bowel preparation ,heart disease ,seizure. Surgeon consider difficult surgery such as fixed mass or uterus with others organs from per vaginal examination or very huge mass or history of difficult surgery or history of severe adhesion in abdominal cavity.

Detailed Description
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Methods Divide patients into 3 groups ,First group patients doing Soap suds enema (S.S.E.), second group patients doing sodium chloride enema and the last group patient Non per os (NPO) before surgery Patients information such as age, height, weight, smoking, history of surgery, number of surgeries, diagnosis that required surgery. The complete blood count and the laboratory prior to surgery record by the research team. Patients do self questionnaire about symptoms such as abdominal pain or discomfort , anxiety ,nausea and vomiting etc. these are for understanding symptoms of patients before bowel preparation perform. Computer-generated sequence into block for 30 person Random into 3 groups by nurses .in opaque envelopes with number infront of to identify patients. Surgeon must not know what group of these patients get in. Patients in S.S.E. group will bowel preparation by soap suds enema until clear at night before surgery. Patients in unison enema group will Unison enema 100 ml per rectal at night before surgery Patients NPO groups will NPO and no bowel preparation. Patients in all group are doing operative preparation such as NPO after midnight, retained foley catheter and clean abdomen and perineum before surgery. Closs matching blood. In the morning before surgery , patients do self questionnaire about symptoms score such as abdominal pain or discomfort , anxiety ,nausea and vomiting etc. for symptoms of patients after bowel preparation perform last night. In operation room , surgeon evaluate surgical view, bowel handling after use swabs for bowel packing and record by nurse and after operation finish surgeon evaluate satisfaction of operation. One day after surgery and before discharge from hospital patients do self questionnaire about symptoms score such as abdominal pain or discomfort , anxiety ,nausea and vomiting etc

Official Title
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Appropriated Bowel Preparation Before Exploratory Laparotomy in Gynecologic Surgery

Conditions
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Cathartic Colon, Other Surgical Procedures

Intervention / Treatment
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* Procedure: Soap suds enema (S.S.E.)
* Procedure: sodium chloride enema
* Procedure: No enema


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women under going laparotomy in gynecologic surgery Surgeon consider not too difficult surgery. Can understanding Thai language. Can communicate with researcher. Consenting participants. Exclusion Criteria: Pregnancy or suspected pregnancy. Laparoscopic surgery Do not consent to participate in research Gastrointestinal infection Underlying disease such as Intestinal disease, patient who cannot under going bowel preparation ,heart disease ,seizure. Surgeon consider difficult surgery such as fixed mass or uterus with others organs from per vaginal examination or very huge mass or history of difficult surgery or history of severe adhesion in abdominal cavity.

Ages Eligible for Study
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Maximum Age: 80 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Soap sus enema (S.S.E.)<br>Patients in S.S.E. group will receive bowel preparation by soap suds enema until clear at night before surgery. | Procedure: Soap suds enema (S.S.E.)<br>* Patients in S.S.E. group will bowel preparation by soap suds enema until clear at night before surgery.<br>|
| Experimental: sodium chloride enema<br>Patients in unison enema group will receive Unison enema 100 ml per rectal at night before surgery. | Procedure: sodium chloride enema<br>* Patients in unison enema group will Unison enema 100 ml per rectal at night before surgery<br>|
| Placebo Comparator: no enema<br>Patients will receive none of bowel preparation. NPO after midnight | Procedure: No enema<br>* Patients NPO groups will NPO and no bowel preparation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| surgical view and bowel handling in operation | surgeon evaluate surgical view, bowel handling after use swabs for bowel packing and record by nurse and after operation finish surgeon evaluate satisfaction of operation. Evaluation in operation In operation room , surgeon evaluate surgical view, bowel handling after use swabs for bowel packing and record by nurse using visual analog scale score 0 to 10 that depend on surgical view and bowel handling, 0 is the worst surgical view and hardest bowel handling and 10 for extremely good surgical view and easiest bowel handling. When the operation finished surgeon evaluate satisfaction of operation . | 1 day after bowel preparation | 
| Comparing the side effects of soap suds enema group, sodium chloride enema group and the NPO group. | Patients self answers Questionnaire about symptoms by visual analog scale score 0 to 10 that depend on severity of symptoms 0 is no symptoms and 10 most severe symptoms. Symptoms including headache, nausea, vomiting, thirsty, fatique, anxious, discomfort, abdominal pain , bloating, insomnia, ashamed, fecal incontinence. Additional questions in morning before surgery are Do you feelng discomfort from these bowel preparation?, do you want to do the same bowel preparation method if you have to do next operation? and do you want to change to other methods?, | 1 day before surgery and 3 day after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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bowel preparation, gynecologic surgery, laparotomy