Clinical Research
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Comparison of ERAS interventions with routine protocols in gynecologic surgery

Year 2024, Volume: 21 Issue: 3, 174 - 180, 30.09.2024
https://doi.org/10.38136/jgon.1435228

Abstract

Purpose ERAS protocols are a set of rules that aim to improve the patient's well-being from admission to discharge, shorten the duration of hospitalization, and at the same time reduce costs. In this study, we aimed to evaluate whether ERAS protocols are superior to patient follow-up our hospital's protocol for gynecologic surgery patients.
Methods The study included 50 patients who will undergo total abdominal hysterectomy and bilateral oophorectomy under general anesthesia. After the patients were divided into two groups, One group received the ERAS protocol while the other group received the routine protocol of our hospital. For both groups, patient's satisfactions and length of hospital stay were recorded.
Results Patient's satisfaction during the entire hospitalization process(p=0.000), was significantly higher in the ERAS Group. The duration of hospitalization(p=0.02) were significantly shorter in ERAS Group.
Conclusions In gynecological cases where the ERAS protocol was used, patient satisfaction and length of hospital stay were more favorable compared to the routine protocol of the hospital.

References

  • 1. Agarwal P, Frid I, Singer J, Zalatimo O, Schirmer CM, Kimmell KT, et al. Neurosurgery perception of enhanced recovery after surgery (ERAS) protocols. J Clin Neurosci.2021; 92:110-114. 2. Greco M., Capretti, G. Beretta L., Gemma M., Pecorelli N., Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials, World J. Surg. 2013; 38 :1531-1541, http://dx.doi.org/ 10.1007/s00268-013-2416-8. 3. Polle S.W., Wind J., Fuhring J.W., Hofland J., Gouma D.J., Bemelman W.A. Implementation of a fast-track perioperative care program: what are the difficulties? Dig. Surg.2007;24:441-449, http://dx.doi.org/10.1159/ 000108327. 4. Walter C.J., Smith A., Guillou P. Perceptions of the application of fast-track surgical principles by general surgeons, Ann. R. Coll. Surg. Engl.2006; 88: 191-195, http://dx.doi.org/10.1308/003588406X94940.

Jinekolojik cerrahide ERAS uygulamalarının rutin protokollerle karşılaştırılması

Year 2024, Volume: 21 Issue: 3, 174 - 180, 30.09.2024
https://doi.org/10.38136/jgon.1435228

Abstract

Amaç ERAS protokolleri, hastaneye yatıştan taburculuğa kadar hastanın refahını iyileştirmeyi, hastanede kalış süresini kısaltmayı ve aynı zamanda maliyetleri düşürmeyi amaçlayan bir dizi kuraldır. Bu çalışmada ERAS protokollerinin hastanemizin jinekolojik cerrahi hastaları için uyguladığı hasta takip protokolüne göre daha üstün olup olmadığını değerlendirmeyi amaçladık.
Gereç ve Yöntem : Çalışmaya genel anestezi altında total abdominal histerektomi ve bilateral ooferektomi yapılacak 50 hasta dahil edildi. Hastalar iki gruba ayrıldıktan sonra bir gruba ERAS protokolü, diğer gruba ise hastanemizin rutin protokolü uygulandı. Her iki grup için de hasta memnuniyetleri ve hastanede kalış süreleri kaydedildi.
Bulgular: Tüm hastanede yatış süreci boyunca hasta memnuniyeti (p=0.000), ERAS Grubu'nda anlamlı olarak daha yüksekti. Hastanede kalış süresi (p=0.02) ERAS Grubu'nda anlamlı olarak daha kısaydı.
Sonuç: ERAS protokolünün kullanıldığı jinekolojik olgularda hasta memnuniyeti ve hastanede kalış süresi hastanenin rutin protokolüne göre daha olumluydu.

References

  • 1. Agarwal P, Frid I, Singer J, Zalatimo O, Schirmer CM, Kimmell KT, et al. Neurosurgery perception of enhanced recovery after surgery (ERAS) protocols. J Clin Neurosci.2021; 92:110-114. 2. Greco M., Capretti, G. Beretta L., Gemma M., Pecorelli N., Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials, World J. Surg. 2013; 38 :1531-1541, http://dx.doi.org/ 10.1007/s00268-013-2416-8. 3. Polle S.W., Wind J., Fuhring J.W., Hofland J., Gouma D.J., Bemelman W.A. Implementation of a fast-track perioperative care program: what are the difficulties? Dig. Surg.2007;24:441-449, http://dx.doi.org/10.1159/ 000108327. 4. Walter C.J., Smith A., Guillou P. Perceptions of the application of fast-track surgical principles by general surgeons, Ann. R. Coll. Surg. Engl.2006; 88: 191-195, http://dx.doi.org/10.1308/003588406X94940.
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Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Nihan Aydın Güzey 0000-0002-8352-5376

Havva Esra Uyar Türkyılmaz 0000-0002-5717-3610

Elif Avcu Kurt 0009-0008-4184-5938

Namık Özcan 0000-0001-9310-712X

Filiz Avşar 0000-0003-3699-7757

Şemsi Mustafa Aksoy 0000-0003-3197-5655

Publication Date September 30, 2024
Submission Date February 14, 2024
Acceptance Date April 21, 2024
Published in Issue Year 2024 Volume: 21 Issue: 3

Cite

Vancouver Aydın Güzey N, Uyar Türkyılmaz HE, Avcu Kurt E, Özcan N, Avşar F, Aksoy ŞM. Comparison of ERAS interventions with routine protocols in gynecologic surgery. JGON. 2024;21(3):174-80.