RT Journal Article
T1 New surgical realities: implementation of an enhanced recovery after surgery protocol for gynecological laparoscopy—a prospective study
A1 Vilches-Jimenez, Jose Carlos
A1 Tripiana-Serrano, Beatriz
A1 Villegas-Muñoz, Emilia Carmen
A1 Sánchez-Pérez, Belinda
A1 Jiménez-López, Jesús Salvador
K1 Cuidados postoperatorios
AB Multimodal rehabilitation allows optimization of functional recovery in surgery patients by reducingthe postoperative stress and hospital stay duration, without increasing the morbidity and mortality. It is reportedlysuccessful in other surgical disciplines, and guidelines for its application to gynecological surgery are available;however, most evidence for these guidelines is derived from observational and/or retrospective studies. Therefore,this study aimed to investigate the applicability of an enhanced recovery after surgery (ERAS) protocol inlaparoscopic gynecological surgery and its influence on the postoperative stay, morbidity, mortality, andreadmission, through a prospective approach.Methods: This prospective cohort study was performed on 90 patients who underwent laparoscopic hysterectomyfor benign causes from October 2017 to October 2019. Patients in whom the ERAS (ERAS group, n = 30) andtraditional (control group, n = 60) protocols were implemented were compared. All patients were followed for 6months.Results: The groups were homogeneous and did not differ significantly with respect to the demographiccharacteristics (age, ASA score, body mass index), surgical indications, and surgery types. Adherence to the ERASprotocol was over 99%. The postoperative hospital-stay durations were 1.73 days (r = 1–3) and 2.97 days (r = 2–6)in the ERAS and control groups, respectively (p = 0.000). No significant intergroup differences were observed in therates of complications and readmissions.Conclusions: The ERAS protocol is applicable in laparoscopic gynecological surgery and can be implemented withgood adherence. This can allow optimization of patient recovery by reducing the hospital stay duration, withoutincreasing the rates of morbidity, mortality, or readmission.
PB Springer Nature
SN 2047-0525
YR 2021
FD 2021-12-15
LK https://hdl.handle.net/10630/44749
UL https://hdl.handle.net/10630/44749
LA eng
NO Jimenez JCV, Serrano BT, Muñoz EV, Pérez BS, Jimenez Lopez JS. New surgical realities: implementation of an enhanced recovery after surgery protocol for gynecological laparoscopy-a prospective study. Perioper Med (Lond). 2021 Dec 15;10(1):52. doi: 10.1186/s13741-021-00221-4. PMID: 34906252; PMCID: PMC8672549.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 2 mar 2026