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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Outcomes of Enhanced Recovery After Surgery (ERAS) Protocol Implementation in Major Gynecologic Procedures: A

M Radha1, Kasturi Donimath2, H Harshitha3

  • 1Obstetrics and Gynaecology, Bala Gangadharanatha Swamiji (BGS) Global Institute of Medical Sciences, Bengaluru, IND.

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Implementing an Enhanced Recovery After Surgery (ERAS) protocol in gynecologic surgery significantly speeds patient recovery. This approach reduces complications and shortens hospital stays for women undergoing major procedures.

Keywords:
enhanced recovery after surgery (eras) protocolslength of hospital staymajor gynecological surgeryparalytic ileuspost-op complicationspost-op pain management

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Area of Science:

  • Gynecologic Surgery
  • Surgical Outcomes
  • Patient Recovery

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols show potential for improving surgical outcomes.
  • ERAS adoption in gynecologic surgery has lagged compared to other specialties.
  • This study addresses the need for tailored ERAS protocols in major gynecologic procedures.

Purpose of the Study:

  • To evaluate the effectiveness of a specific ERAS protocol for major gynecologic surgery.
  • To compare patient outcomes between an ERAS group and a conventional treatment group.
  • To assess the impact of ERAS on recovery time, complications, and length of stay.

Main Methods:

  • Prospective case-control study involving 180 women undergoing major gynecologic surgery.
  • Two groups: Pre-ERAS (conventional care) and ERAS (protocol implementation).
  • ERAS protocol included preoperative education, carbohydrate loading, early mobilization, feeding, and multimodal pain management.

Main Results:

  • ERAS patients demonstrated faster return of bowel function and earlier ambulation.
  • Superior pain management was observed in the ERAS group.
  • ERAS significantly reduced postoperative complications and shortened hospital stays, with 81.1% discharged within seven days.

Conclusions:

  • A tailored ERAS protocol is effective for major gynecologic surgery.
  • ERAS implementation leads to accelerated patient recovery and improved outcomes.
  • This protocol offers a pathway to reduced morbidity and shorter hospitalizations in gynecologic procedures.