World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 2 ( May-August, 2024 ) > List of Articles

Original Article

A Randomized Control Study on the Effectiveness of Enhanced Recovery after Surgery (ERAS) Protocol with Conventional Protocol in Total Laparoscopic Hysterectomy

Aashritha Mukka, Prathap Talwar, Anil Kumar MR

Keywords : Conventional protocol, Duration of hospital stay, ERAS protocol, Gynecology, Laparoscopic hysterectomy

Citation Information : Mukka A, Talwar P, MR AK. A Randomized Control Study on the Effectiveness of Enhanced Recovery after Surgery (ERAS) Protocol with Conventional Protocol in Total Laparoscopic Hysterectomy. World J Lap Surg 2024; 17 (2):69-74.

DOI: 10.5005/jp-journals-10033-1577

License: CC BY-NC 4.0

Published Online: 18-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Aim: The present study was aimed to evaluate the effectiveness of enhanced recovery after surgery protocol (ERAS) vs conventional protocol in decreasing the duration of hospital stay after total laparoscopic hysterectomy. It also aims to assess the postoperative complications, compliance, patient comfort, and surgeon satisfaction among the ERAS and conventional protocol in total laparoscopic hysterectomy. Materials and methods: The present randomized controlled study was conducted by the Department of Obstetrics and Gynaecology at JSS Hospital, Mysuru, over a period of 1 year 18 months. A total of 120 patients scheduled for a laparoscopic hysterectomy with salpingectomy or salpingo-oophorectomy for a benign disease were included in the research and were randomized into ERAS (n = 60) and conventional protocol groups (n = 60). Both the ERAS protocol and the control group received care in accordance with accepted protocol. Results: In the present study, the mean VAS score in the ERAS study group was found to be 2.4 ± 0.6, and in the control group, is 4.6 ± 0.8 with a mean difference of 2.1 and p-value of less than 0.05. The mean total duration of hospital stay (in days) among the patients in the ERAS group is 1.6 ± 0.3 days. In the control group, is 4.4 ± 0.5 days with a mean difference of 2.8 days and a p-value of less than 0.05. None of the ERAS group patients had been readmitted to the EMD.100% of the patients in both the groups, are satisfied with the outcome of the surgery. Conclusion: The ERAS protocol implementation in laparoscopic hysterectomy procedures has resulted in decreased length of total duration of hospital stay and high patient satisfaction with no change in postoperative complications and readmission rates.

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