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

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:...

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Autores principales: Yilmaz, Gulseren, Akca, Aysu, Kiyak, Huseyin, Salihoglu, Ziya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020716/
https://www.ncbi.nlm.nih.gov/pubmed/32117508
http://dx.doi.org/10.5114/wiitm.2019.85464
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author Yilmaz, Gulseren
Akca, Aysu
Kiyak, Huseyin
Salihoglu, Ziya
author_facet Yilmaz, Gulseren
Akca, Aysu
Kiyak, Huseyin
Salihoglu, Ziya
author_sort Yilmaz, Gulseren
collection PubMed
description 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.
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spelling pubmed-70207162020-03-01 Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery Yilmaz, Gulseren Akca, Aysu Kiyak, Huseyin Salihoglu, Ziya Wideochir Inne Tech Maloinwazyjne Original Paper 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. Termedia Publishing House 2019-05-31 2020-03 /pmc/articles/PMC7020716/ /pubmed/32117508 http://dx.doi.org/10.5114/wiitm.2019.85464 Text en Copyright: © 2019 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Yilmaz, Gulseren
Akca, Aysu
Kiyak, Huseyin
Salihoglu, Ziya
Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title_full Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title_fullStr Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title_full_unstemmed Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title_short Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
title_sort comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020716/
https://www.ncbi.nlm.nih.gov/pubmed/32117508
http://dx.doi.org/10.5114/wiitm.2019.85464
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