Effect of enhanced recovery after surgery protocol for laparoscopic hysterectomy in benign indications: a retrospective cohort study - Report - MDSpire

Effect of enhanced recovery after surgery protocol for laparoscopic hysterectomy in benign indications: a retrospective cohort study

  • By

  • Yang Liu

  • Yanping Fang

  • Xiaolei Zhao

  • June 29, 2026

  • 0 min

Share

Clinical Report: Impact of Enhanced Recovery After Surgery Protocol on Perioperative Outcomes

Overview

This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) protocols on perioperative outcomes in patients undergoing laparoscopic hysterectomy for benign conditions. The ERAS group showed significant improvements in hospital stay, ambulation, and flatus times compared to the conventional management group.

Background

Laparoscopic hysterectomy is a common procedure for benign gynecologic conditions, associated with benefits such as reduced blood loss and shorter recovery times. Enhanced Recovery After Surgery (ERAS) protocols aim to optimize perioperative care. The specific effects of ERAS on laparoscopic hysterectomy for benign conditions require further investigation.

Data Highlights

OutcomeERAS GroupConventional Groupp-value
Length of Hospital Stay4.51 ± 1.21 days6.67 ± 1.08 days< 0.001
Time to First Ambulation17.29 ± 3.69 h20.61 ± 4.11 h< 0.001
Time to First Flatus11.05 ± 2.89 h14.32 ± 2.31 h< 0.001

Key Findings

  • The ERAS group had a significantly shorter hospital stay compared to the conventional group (4.51 days vs. 6.67 days).
  • Time to first ambulation was reduced in the ERAS group (17.29 hours vs. 20.61 hours).
  • Time to first flatus was significantly shorter in the ERAS group (11.05 hours vs. 14.32 hours).

Clinical Implications

The findings suggest that implementing ERAS protocols may enhance recovery in patients undergoing laparoscopic hysterectomy for benign conditions. Clinicians may consider adopting ERAS strategies to improve patient outcomes without increasing complication rates.

Conclusion

The study indicates differences in perioperative outcomes in laparoscopic hysterectomy for benign conditions between ERAS and conventional management groups.

Related Resources & Content

  1. Adopting Improved Perioperative Management in Emergency General Surgery: A Prospective Multicenter Observational Investigation
  2. Optimizing Recovery in Laparoscopic Colectomy for Cancer Patients
  3. Disparities in Adoption and Varied Results of Laparoscopic Colorectal Cancer Surgery in England: A Nationwide Population-Based Analysis from 2002 to 2012
  4. Enhanced Recovery After Surgery (ERAS) society guidelines for gynecologic oncology: 2026 update
  5. Perioperative enhanced recovery after surgery (ERAS) for non‐malignant gynaecological conditions
  6. International Journal of Colorectal Disease — Short-term outcomes of minimally invasive surgery in older colorectal cancer patients in the era of enhanced recovery after surgery: is a “one-size-fits-all” strategy sufficient?
  7. Current guidance and consensus on ERAS in gynecologic surgery
  8. Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: 2026 update - PubMed
  9. Perioperative enhanced recovery after surgery (ERAS) for non‐malignant gynaecological conditions - PMC
  10. Enhanced Recovery After Surgery vs Traditional Recovery Pathway After Minimally Invasive Hysterectomy for Benign Indications: A Systematic Review and Meta-Analysis - ScienceDirect
  11. Comparison of the Outcomes of Enhanced Recovery After Surgery and Traditional Recovery Pathway in Robotic Hysterectomy for Benign Indications: A Randomized Controlled Trial - PubMed
  12. Intra- and post-operative outcomes of the Enhanced Recovery after Surgery (ERAS) Program in laparoscopic hysterectomy - PubMed

Original Source(s)

Related Content