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Intravenous Dexamethasone for Preventing Postoperative Nausea and/or Vomiting in Total Abdominal Hysterectomy: A randomized double-blinded, placebo-controlled trial

Phase 2
Completed
Conditions
Participants who diagnose with benign gynecologic conditions and scheduled for total abdominal hysterectomy with or without adnexal surgery.
Postoperative nausea and vomiting, PONV, dexamethasone, hysterectomy
Registration Number
TCTR20240416002
Lead Sponsor
Khon Kaen Hospital
Brief Summary

There was no significant difference in the incidence of PONV within 24 hours between the dexamethasone group and control group. The need for antiemetic drugs was not statistically different between groups, and without serious adverse events in both groups. The dexamethasone group experienced a lesser pain score than the control group at 24 hours after surgery. There was no difference in additional analgesic requirements.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
86
Inclusion Criteria

Participants were diagnosed with benign gynecologic conditions and scheduled for total abdominal hysterectomy with or without adnexal surgery.

Exclusion Criteria

1.Had a known hypersensitivity to dexamethasone 2. Had conditions that might influence gastrointestinal motility (including previous bowel surgery, previous abdominal irradiation, chronic constipation, pancreatitis, peritonitis, hypothyroidism, and chronic use of drugs that impact intestinal peristalsis 3. Had underlying diabetes mellitus who got poor glycemic control 4. Were immunocompromised (tuberculosis, HIV Infection) 5. Experienced an intraoperative blood loss of more than 1,000 ml or blood loss that required blood transfusion.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of PONV within 24 hours at 24 hours after receiving the intervention Percent
Secondary Outcome Measures
NameTimeMethod
Additional Drug Requirements within 24 hours after receiving intervention Percent,Side effects of dexamethasone within 24 hours after receiving intervention Percent,Postoperative pain score at 24 hours after receiving intervention Mean,This length of hospital stay After participants were discharge from hospital Mean
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