Background Enhanced recovery after surgery protocol is a standardized, multidisciplinary approach for shorter hospital stay without negatively affecting patient outcomes. The aim of this research was to evaluate the effect of enhanced recovery after surgery protocol on postoperative outcomes of women undergoing abdominal hysterectomy. Design A quasi-experimental design was adopted to fulfil the aim of this research. Setting The research was conducted at Obstetric and Gynecological Department in Benha University Hospital. Sample A purposive sample of 148 women undergoing abdominal hysterectomy divided into two groups. Data collection Three tools were used: Tool (I) structured questionnaire sheet. Tool (II) post-operative pain assessment scale (numerical rating scale). Tool (III) post-operative outcomes assessment sheet. Results There was a highly statistically significant difference between the studied groups regarding all postoperative outcomes ( p = .000). The women in the study group experienced less mean score of pain compared to those in control group on both 2nd and 3rd day after surgery. Also, there was a statistically significant difference between the studied groups regarding postoperative complication and readmission ( p = .000). Conclusion Women undergoing abdominal hysterectomy who received enhanced recovery after surgery protocol had better postoperative outcomes than women who received routine perioperative care.

Background: Enhanced recovery after surgery protocol is applied to the conventional perioperative techniques to improving surgical outcomes. Aim of Study: Was to assess the effect of enhanced recovery after surgery protocol on hospital stay and satisfaction of women undergoing abdominal hysterectomy. Design: A quasi experimental design was adopted in this study. Setting:The study was conducted at Obstetric and Gynecological department in Benha University Hospital. Sample: A purposive sample of 148 women undergoing abdominal hysterectomy divided into two groups. Tools of data collection: Data were collected by using three tools included: a structured interviewing questionnaire, follow up after surgery sheet and the women satisfaction with nursing care quality questionnaire. Results: Majority (81.1%) of the study group spent only 2 days after surgery while half (50.0%) of the control group spent from 3-4 days after surgery. 91.9% of the study group was satisfied with care provided compared to 48.6% of the control group. Conclusion: Women undergoing abdominal hysterectomy who received enhanced recovery after surgery protocol had shorter period of hospital stay and better women's satisfaction than women who received routine perioperative care. Recommendation: Enhanced recovery after surgery protocol should become the standard practice for all women undergoing elective gynecologic surgeries .