Comparative Study of Eras Protocol With Conventional Protocol for Gynecological Surgery

Abstract

Background Enhanced Recovery After Surgery (ERAS) have been proposed to improve the quality of in-hospital care by reducing functional capacity loss and fasten the recovery in gynecological patients. The aim of this studyObjective was to compare the ERAS protocol with conventional protocol in post-operative outcome following gynecological surgery. A prospective, comparative study was done at Geetanjali medical college and Hospital, UdaipurMethod between January 2020 to January 2021. 40 patients, each in group of ERAS and Conventional protocol group having patients of elective gynecological surgery, were compared for demographic profile, Pain assessment, Time of oral intake, bowel bladder function, hospital stay and post-operative complication. In this study, Mean VASResults postoperatively in ERAS group was much lower than conventional group (p < 0.001). In ERAS and conventional group, oral intake was 7.30 ± 1.49 hours, and 24 ± 0.001 hours respectively (p <0.01). The mean de-catheterization time was 18.60 ± 1.03 hours in ERAS group as compared to 45.90 ± 2.07 hours in conventional group(p <0.01). The length of hospital stay for ERAS group patients were very low compared to Conventional group. There was no significant difference in both group regarding age, weight, height, BMI and parity, post-operative complications and readmission rates. ERAS is helpful in reducing the length of hospitalization, early return of bowel function, cost effectiveConclusion with very fewer complications compared to conventional group. The properly implemented ERAS protocol leads to faster recovery and discharge with improved patient satisfaction and quality of life.