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July 18, 2025MedicineOpen Access

Application of enhanced recovery after surgery in perioperative management of patients undergoing laparoscopic surgery for benign gynecological conditions

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Why the study?

This study was conducted to evaluate the effectiveness of an enhanced recovery after surgery (ERAS) protocol in laparoscopic gynecological surgery and its impact on perioperative management.

Does the enhanced recovery after surgery (ERAS) protocol improve perioperative outcomes, reduce stress response, and lower costs in women undergoing laparoscopic surgery for benign gynecological conditions?

Population

187 patients undergoing elective laparoscopic gynecological surgery at Guangyuan Central Hospital

Comparison

ERAS protocol vs conventional care

Design

Retrospective analysis

Authors

RNRouzi NuermanguliJDJing DengYJYan JiangYing

Discussion

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Member takes

Overview

May support ERAS in gynecologic laparoscopy; leaves open need for RCTs before routine adoption.

Structured PICO

Does the enhanced recovery after surgery (ERAS) protocol improve perioperative outcomes, reduce stress response, and lower costs in women undergoing laparoscopic surgery for benign gynecological conditions?

P
Population
187 women aged ≥18 years diagnosed with benign gynecological conditions, scheduled for elective laparoscopic surgery under general anesthesia, with good overall health and no significant medical or surgical comorbidities. Median age 38 years.
I
Intervention
Enhanced recovery after surgery (ERAS) protocol, including structured education, modified fasting (6 hours solid, 2 hours clear fluids), oral carbohydrate loading 2 hours before surgery, no routine mechanical bowel preparation, early oral hydration (within 6 hours), early mobilization (within 24 hours), gum chewing on postoperative day 1, early urinary catheter removal (12-24 hours), and thromboprophylaxis.
C
Comparator
Conventional perioperative care, including traditional preoperative counseling, 12-hour fasting period, routine mechanical bowel preparation, and standard postoperative care.
O
Outcome
Stress response markers (serum cortisol, HOMA-IR), nutritional parameters (prealbumin, albumin, blood urea nitrogen), and clinical outcomes (time to gastrointestinal recovery, length of hospital stay) measured at baseline and 24 hours post-surgery.

The ERAS protocol significantly optimizes perioperative management for patients undergoing laparoscopic gynecological surgery by reducing hospital stay, lowering costs, and enhancing patient satisfaction.

Limitations

  • Relatively small sample size
  • Single-center study
  • Primarily focused on short-term perioperative outcomes with limited exploration of long-term prognosis

Cite This Study

Nuermanguli et al. (2025) studied this question.

synapsesocial.com/papers/6a761b0f74b63c188eb21b1fhttps://doi.org/10.1097/md.0000000000043161
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