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The purpose of this study is to learn about bowel preparation (cleansing) before laparoscopic hysterectomy and/or sacrocolpopexy. We are most interested in the ability of the surgeon to view necessary anatomy for the surgery, which will be assessed by a questionnaire completed at the end of your operation by the surgeon. We hypothesize that bowel preparation before laparoscopic hysterectomy will result in improved ability of the surgeon to view necessary anatomy for the surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mechanical Bowel Prep Group | Experimental | Half of the subjects will be randomized to a group that does mechanical bowel preparation with sodium phosphate enema. Those assigned to the mechanical bowel prep group will be asked to administer a single sodium phosphate enema rectally before going to bed the night before surgery. If stool is not clear in the morning, mechanical bowel prep subjects will administer one additional enema the morning of surgery. All subjects will be instructed to restrict their diet to clear liquids the day prior to their surgery and to continue this diet after midnight, save a small sip of water for medications in the morning. |
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| No Bowel Prep Group | No Intervention | Participants randomly assigned to this group will not have the bowel prep treatment before the surgery. All subjects will be instructed to restrict their diet to clear liquids the day prior to their surgery and to continue this diet after midnight, save a small sip of water for medications in the morning. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fleet Enema (sodium biphosphate and sodium phosphate) | Drug | Those assigned to the mechanical bowel prep group will be asked to administer a single sodium phosphate enema rectally before going to bed the night before surgery. If stool is not clear in the morning, mechanical bowel prep subjects will administer one additional enema the morning of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Surgeon's assessment of surgical field visual quality | immediately after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Surgeon evaluation of patient outcomes | Survey will include questions regarding operative time, operative complications, postoperative complications, and length of hospitalization. | immediately after surgery |
| Patient reported satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matthew Siedhoff, MD, MSCR | UNC OB-GYN Division of Advanced Laparoscopy and Pelvic Pain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UNC Department of Obstetrics and Gynecology | Chapel Hill | North Carolina | 27599 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24499763 | Derived | Siedhoff MT, Clark LH, Hobbs KA, Findley AD, Moulder JK, Garrett JM. Mechanical bowel preparation before laparoscopic hysterectomy: a randomized controlled trial. Obstet Gynecol. 2014 Mar;123(3):562-567. doi: 10.1097/AOG.0000000000000121. |
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Participants will complete questionnaires regarding their relative comfort in the preoperative period. Participants will also be asked if they were able to complete the regimen and if they would be willing to perform the same preparation before a future surgery.
| immediately prior to surgery |
| ID | Term |
|---|---|
| C018279 | sodium phosphate |
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