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This study aims to compare the effects of combined intravenous-inhalational anesthesia versus inhalational anesthesia alone on postoperative recovery in patients undergoing elective gynecologic surgery.
A total of 100 patients, aged 18-65 years and classified as ASA I-III, scheduled for elective gynecologic procedures at Sakarya University Faculty of Medicine Training and Research Hospital, will be included. The sample size was calculated based on the primary outcome, the Quality of Recovery-15 (QoR-15) score.
Patients will complete the QoR-15 questionnaire preoperatively, before knowing which anesthesia method will be applied. Postoperative QoR-15 scores will be collected on postoperative days 1 and 2, and intraoperative data will be obtained from anesthesia records.
The study evaluates postoperative recovery using QoR-15 scores, covering physical comfort, emotional state, psychological support, pain, and ability to perform daily activities. Higher scores indicate better recovery, whereas lower scores indicate impaired postoperative recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combined Intravenous-Inhalational Anesthesia | Experimental | Patients in this group will receive a combination of intravenous and inhalational anesthesia during elective gynecologic surgery. Postoperative recovery will be assessed using the QoR-15 questionnaire on postoperative days 1 and 2. |
|
| Inhalational Anesthesia Only | Active Comparator | Patients in this group will receive only inhalational anesthesia during elective gynecologic surgery. Postoperative recovery will be assessed using the QoR-15 questionnaire on postoperative days 1 and 2. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined Intravenous-Inhalational Anesthesia | Drug | Patients will receive a combination of intravenous anesthetic agents and inhalational anesthetic gases during elective gynecologic surgery. The specific anesthetic drugs and doses will follow routine clinical practice. Postoperative recovery will be assessed using the Quality of Recovery-15 (QoR-15) questionnaire on postoperative days 1 and 2. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative recovery using QoR-15 | Postoperative recovery will be assessed using the Quality of Recovery-15 (QoR-15) questionnaire, a validated patient-reported outcome measure. The questionnaire evaluates physical comfort, emotional state, psychological support, pain, and ability to perform daily activities. Higher scores indicate better recovery. | Postoperative Day 1 and Postoperative Day 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain score | Pain will be assessed using a standard numerical rating scale (0-10) at postoperative hours 6, 12, and 24. Higher scores indicate more pain. | Postoperative hours 6, 12, and 24 |
| Postoperative nausea and vomiting (PONV) incidence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| melike kar ünlü, MD | Contact | 905079790381 | Melikekar2015@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sakarya University Training and Research Hospital | Recruiting | Sakarya | 54290 | Turkey (Türkiye) |
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Patients will be randomly assigned in a parallel design to one of two groups:
Combined intravenous-inhalational anesthesia group
Inhalational anesthesia only group
Each patient will receive only one anesthesia method during their elective gynecologic surgery. Outcomes will be assessed using the Quality of Recovery-15 (QoR-15) questionnaire on postoperative days 1 and 2.
This design allows a direct comparison of postoperative recovery between the two anesthesia methods.
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| Inhalational Anesthesia Only | Drug | Patients will receive only inhalational anesthetic gases during elective gynecologic surgery, following routine clinical practice. Postoperative recovery will be assessed using the QoR-15 questionnaire on postoperative days 1 and 2. |
|
Incidence of nausea and vomiting will be recorded in the first 24 hours after surgery. |
| Postoperative hours 0-24 |
| Length of stay in post-anesthesia care unit (PACU) | Duration of stay in PACU will be recorded in minutes from admission to discharge. | Postoperative period (PACU stay), assessed up to 10 days |