Web-based Versus Standard Information for Same Day Hysterectomy (WISH)

Launched by BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST · Aug 21, 2023

Keywords

ClinConnect Summary

The WISH trial is looking at how helpful an online patient education resource can be for women undergoing same-day discharge after a laparoscopic hysterectomy, which is a minimally invasive surgery to remove the uterus. The goal is to see if providing extra information online improves patient understanding and experience compared to the usual printed and verbal information given by doctors and nurses. This study will involve 40 women who are having this surgery for non-cancerous conditions and are eligible for discharge on the same day.

To participate in this trial, women need to be between 18 and 60 years old, in good overall health, and living within an hour of the hospital. They should also be able to understand and agree to participate in the study. Participants can expect to receive either the online educational resource or standard information, and their experiences will be assessed through surveys and follow-ups over 6 and 12 weeks after the surgery. The trial aims to find out if the additional online resource helps with recovery, satisfaction with care, and overall quality of life after the surgery.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Able to give informed consent to participate
• • Have a benign gynaecological condition that is being treated with a LH
• • Eligible to be on same day discharge pathway Patient factors
• • 1. ASA I/II with no sleep apnoea. ASA III may be suitable if comorbidities are stable and optimised.
• • 2. No known cardio-pulmonary compromise
• • 3. No known renal disease
• • 4. Age \</= 60 years
• • 5. BMI \</=40
• • 6. Not indication for admission to Gynaecological Extended Recovery Area (GERU)
• • Surgical factors
• • 1. Presumed benign disease
• • 2. No anticipated surgical complications
• • 3. Concomitant procedures acceptable but surgeon to decide on a case by case basis Discharge factors
• • 4. Residence \< 1 hour from BWCH
• • 5. Access to transport from hospital to home
• Exclusion Criteria:
• • Patient above the age of 60
• • Unwillingness or inability to comply with protocol procedures
• • Women who require concomitant gynaecological surgery for bladder or other pelvic support
• • Women who require concomitant gynaecological surgery for excision of deep endometriosis that requires dissection of the pararectal space above the age of 60
• • Unwillingness or inability to comply with protocol procedures
• • Women who require concomitant gynaecological surgery for bladder or other pelvic support
• • Women who require concomitant gynaecological surgery for excision of deep endometriosis that requires dissection of the pararectal space