Implementation of the Policy of Enhanced Recovery after Surgery in Gynecologic Oncology

AbdElrhman, Amr Ahmed; Refaie, Ashraf Mohamed Nasr; Abdou, Ibrahim Mohamed Ibrahim; Omara, Mustafa Salah

doi:10.21608/ejhm.2022.230274

Implementation of the Policy of Enhanced Recovery after Surgery in Gynecologic Oncology

Document Type : Original Article

Authors

10.21608/ejhm.2022.230274

Abstract

Background: Enhanced Recovery after Surgery (ERAS) is now firmly established as a global surgical quality improvement initiative that results in both clinical improvements and cost benefits to the healthcare system.
Objective: The aim of this work was to evaluate the impact of the ERAS on outcome of gynecologic oncology surgery.
Patients and Methods: A case study was carried out in Zagazig University Hospital during the period from August 2021 and February 2022. The study included 30 patients presenting for gynecological oncologic surgeries. They were classified into two groups: Group I (the ERAS group) included 15 patient who were exposed to the mean of enhanced recovery protocols. Group II (the conventional group) included 15 patients who were treated with the standard care known in the literature.All patients were subjected to general clinical examination, laboratory investigations and radiological studies.
Results: The catheterization period, movement time, audible intestinal sound, oral intake, time until discharge, and need for opiates were all significantly shorter in the ERAS group. While the mean of the universal pain score was significantly higher in the conventional group, 3.5 compared to 1.9 in the ERAS group.
Conclusions: Implementation of the policy of enhanced recovery after surgery (ERAS) in gynecologic oncology was associated with an overall improvement in postoperative outcomes.

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