ENCHANCED RECOVERY AFTER SURGERY IN PATIENTS UNDERGOING TOTAL ABDOMINAL HYSTERECTOMY
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Abstract
ABSTRACT
BACKGROUND: In order to lessen the duration of hospital stay, improve the patient outcomes, standardized approach like the Enhanced Recovery After Surgery (ERAS) is very helpful. The study aimed to evaluate the benefit of ERAS protocol for faster recovery in patients who underwent abdominal hysterectomy.
MATERIAL AND METHODS: This study included 50 patients who underwent total abdominal hysterectomy admitted in the Obstetrics and Gynaecology department of Vinayaka mission's kirupananda Variyar medical College and hospital hospital and used a prospective design. The patients were explained about ERAS protocol and analysed for post-operative complications and recovery.
RESULTS: The mean age of the study participants was 50 ± 5.6 years with 34% of them diagnosed with endometriosis. The duration of hospital stay was 6 ± 1 day where the post-operative stay was 3.7 ± 1.1 day. The time to first flatus was 12.5 ± 3.2 hours while the time span to first oral nutrition was 33.9 ± 7.2 hours. About 88% of the sample had no complications in the post-surgical period.
CONCLUSION: By adhering to the ERAS protocol, benefit to the patients was seen in the form of fewer complications, early recovery, and faster discharge from hospital.