Web-based versus standard Information for Same-day Hysterectomy v1.0
Research type
Research Study
Full title
The WISH Trial (Web-based versus standard Information for Same day Hysterectomy): An evaluation of an on-line, patient information resource for same day discharge following laparoscopic hysterectomy (SDD-LH)
IRAS ID
330287
Contact name
Justin Clark
Contact email
Sponsor organisation
Birmingham Women`s and Children`s NHS Foundation Trust
Duration of Study in the UK
1 years, 1 months, 1 days
Research summary
Almost 40,000 hysterectomies (surgical removal of the uterus) are performed for benign disease each year in the UK. Laparoscopic 'key-hole' hysterectomy is being increasingly done in favour of conventional ‘open’ hysterectomy. This paradigm shift has been driven by advances in surgical technologies and improved training and the belief that recovery is quicker because large surgical incisions are avoided. There has been recent interest in the feasibility of ‘same day discharge’ (SDD) after laparoscopic hysterectomy because it is minimally invasive with less post-operative pain. Moreover, earlier mobilisation and reducing the length of stay in hospital may be desirable to prevent complications such as venous thrombosis and nosocomial infections and utilise scarce health care resources more efficiently. Despite the increase prevalence of laparoscopic hysterectomy and the potential advantages of shortened hospital stay, SDD is not an established model of care. Moreover, where SDD is practiced, compliance with care pathways and discharge protocols is not optimal and this reflect conflicting beliefs of health care professionals about the safety and desirability of SDD and the views, expectations and knowledge of patients.
We therefore designed a patient educational website to provide clear, easily accessible, patient friendly information explaining what SDD after laparoscopic hysterectomy is, why SDD may be beneficial and what to expect from decision for surgery, through to the admission to hospital and immediate, short and long term recovery. Our pilot randomised controlled trial (RCT) will evaluate the potential efficacy of this innovation in enhancing compliance with the same day discharge and the explore the views of users regarding the usability and value of the educational website.
REC name
South West - Frenchay Research Ethics Committee
REC reference
23/SW/0123
Date of REC Opinion
18 Jan 2024
REC opinion
Further Information Favourable Opinion