Effect of enhanced recovery after surgery protocol for laparoscopic hysterectomy in benign indications: a retrospective cohort study - Scorecard - MDSpire
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Effect of enhanced recovery after surgery protocol for laparoscopic hysterectomy in benign indications: a retrospective cohort study
Clinical Scorecard: Impact of Enhanced Recovery After Surgery Protocol on Perioperative Outcomes in Laparoscopic Hysterectomy for Benign Conditions: A Retrospective Cohort Analysis
At a Glance
Category
Detail
Condition
Laparoscopic Hysterectomy for Benign Conditions
Key Mechanisms
Enhanced Recovery After Surgery (ERAS) protocol implementation
Target Population
Patients aged 18-65 with benign gynecological diagnoses scheduled for elective laparoscopic hysterectomy
Care Setting
Single-center retrospective cohort study
Key Highlights
ERAS group had a shorter hospital stay (4.51 days vs. 6.67 days, p < 0.001)
ERAS group ambulated sooner (17.29 hours vs. 20.61 hours, p < 0.001)
ERAS group experienced less postoperative pain and gastrointestinal dysfunction
Overall complication rates were lower in the ERAS group
Patient satisfaction improved in the ERAS group
Guideline-Based Recommendations
Diagnosis
Patients should be evaluated for benign gynecological conditions prior to laparoscopic hysterectomy.
Management
Implement ERAS protocols to optimize perioperative care and recovery.
Monitoring & Follow-up
Monitor postoperative pain and gastrointestinal function using standardized scales.
Risks
Consider exclusion criteria such as malignancy and severe comorbidities when selecting patients.
Patient & Prescribing Data
Patients undergoing elective laparoscopic hysterectomy for benign conditions
ERAS protocols include multimodal analgesia, early mobilization, and early oral intake.
Clinical Best Practices
Standardize perioperative care to reduce surgical stress.
Encourage early mobilization and oral intake post-surgery.
Utilize multimodal analgesia to manage postoperative pain effectively.