Enhanced Recovery after Surgery Protocol in Abdominal Hysterectomies for Malignant versus Benign Disease

Gynecologic and Obstetric Investigation
Lena WijkKerstin Nilsson

Abstract

The enhanced recovery after surgery (ERAS) protocol combines unimodal evidence-based interventions aiming to enhance recovery after surgery and reduce length of stay (LOS). We introduced an ERAS protocol in gynecological surgery and compared outcomes after hysterectomies performed for malignant vs. benign indications. This prospective cohort study was conducted at the Department of Obstetrics and Gynecology, Örebro University Hospital, Sweden, among 121 consecutive patients undergoing abdominal hysterectomy and salpingo-oophorectomy for malignant (n = 40) or benign (n = 81) indications between 2012 and 2014. Clinical data were prospectively collected and extracted from the patient records and from a specific database. The primary outcomes were LOS and proportion of patients achieving target LOS (2 days). Patients operated for malignant vs. benign disease did not differ significantly in terms of LOS (2 (1-5) vs. 2 (1-11) days; p = 0.505), proportion discharged at target LOS (62 vs. 69%; p = 0.465; OR 0.74, 95% CI 0.3-1.6), complications (2 vs. 7% in primary stay, 8 vs. 11% within 30 days after discharge), reoperations (0 vs. 2%), or readmissions (2 vs. 1%). The ERAS protocol may be equally applicable to patients undergoing hyste...Continue Reading

Citations

Aug 23, 2018·Obstetrics and Gynecology·UNKNOWN Committee on Gynecologic Practice
Feb 22, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Alberto A MendivilBram H Goldstein
Jul 17, 2019·Surgical Endoscopy·Eric LambaudieGilles Houvenaeghel
Mar 23, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Basile PacheChahin Achtari
Mar 1, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Alberto A MendivilBram H Goldstein
Dec 3, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Eric LambaudiePatricia Marino
Jan 7, 2021·Nursing & Health Sciences·Åsa Rydmark Kersley, Carina Berterö
May 12, 2020·Journal of Minimally Invasive Gynecology·Terri Q HuynhGretchen E Makai

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