eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
1/2020
vol. 15
 
Share:
Share:
Gynaecology
abstract:
Original paper

Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery

Gulseren Yilmaz
1
,
Aysu Akca
2
,
Huseyin Kiyak
2
,
Ziya Salihoglu
1

1.
Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey
2.
Department of Obstetrics and Gynecology, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey
Videosurgery Miniinv 2020; 15 (1): 220–226
Online publish date: 2019/05/31
View full text Get citation
 
PlumX metrics:
Introduction
Data regarding the role of the enhanced recovery after surgery (ERAS) protocol in improving postoperative outcomes and postoperative compliance in patients undergoing gynecological surgery, in particular, minor laparoscopic and hysteroscopic gynecological procedures, are limited.

Aim
To investigate the impact of the ERAS protocol on time to ambulation, length of stay (LOS), readmissions and postoperative complications in patients undergoing minor gynecological surgical procedures.

Material and methods
A total of 104 patients undergoing minor laparoscopic and hysteroscopic gynecological procedures were randomized to the ERAS protocol or conventional care. Time to defecation, ambulation, and solid food intake, bleeding and LOS were recorded for each patient.

Results
The amount of intravenous fluid administered in the perioperative (p < 0.001) and postoperative period (p < 0.001) was significantly higher in the conventional care group than in the ERAS group. In addition, time to first defecation (p < 0.001), time to eating solid food (p < 0.001), and time to ambulation (p = 0.008) were shorter in the ERAS group compared to the conventional care group. Length of stay was also significantly shorter in the ERAS group than in the conventional care group (p < 0.001).

Conclusions
Implementation of ERAS protocols provides shorter LOS, less fluid intake, early return of bowel function and early mobilization without an increase in complication rate in women undergoing minor laparoscopic or hysteroscopic gynecologic surgery.

keywords:

gynecologic surgery, enhanced recovery after surgery, enhanced recovery, laparoscopy, hysteroscopy

  
Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.