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Related Experiment Video

Updated: May 8, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Published on: January 22, 2022

Enhanced recovery in gynecologic surgery.

Eleftheria Kalogera¹, Jamie N Bakkum-Gamez, Christopher J Jankowski

¹Division of Gynecologic Surgery, the Department of Anesthesiology, Hospital Pharmacy Services, the Department of Nursing, the Division of Biomedical Statistics and Informatics, and the Department of Health Sciences, Division of Health Care Policy and Research, Mayo Clinic, Rochester, Minnesota.

Obstetrics and Gynecology

|August 24, 2013

Summary

Enhanced recovery protocols significantly reduced hospital stays and costs for gynecologic surgery patients. This approach maintained patient satisfaction and safety while lowering opioid use and improving pain management.

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Last Updated: May 8, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Published on: January 22, 2022

Area of Science:

Gynecologic Surgery
Perioperative Care
Enhanced Recovery Protocols

Background:

Enhanced recovery (ER) protocols are multimodal perioperative care strategies.
Their impact on gynecologic surgery outcomes requires investigation.

Purpose of the Study:

To evaluate the effects of enhanced recovery protocols in patients undergoing gynecologic surgery.
To assess impacts on pain management, hospital stay, readmission, complications, and costs.

Main Methods:

A comparative study of 241 patients managed under ER pathways versus historical controls.
Matched by procedure for cytoreduction, surgical staging, and pelvic organ prolapse surgery.
Statistical tests (Wilcoxon rank-sum, chi-square, Fisher's exact) and cost analysis were performed.

Main Results:

ER protocols reduced patient-controlled anesthesia and overall opioid use by 80% in cytoreductive surgery without increasing pain.
Hospital stay decreased by 4 days, with stable readmission and complication rates.
Significant 30-day cost savings of over $7,600 per patient (18.8% reduction) were observed.
Patient satisfaction with perioperative care was high (95% excellent or very good).

Conclusions:

Enhanced recovery protocols in gynecologic surgery are associated with reduced opioid use and shorter hospital stays.
These protocols maintain acceptable pain control, stable morbidity, and high patient satisfaction.
Significant cost reductions were achieved without compromising patient safety.