Impact Of Enhanced Recovery After Surgery (ERAS) Protocols On Outcomes In Gynecological Procedures: A Case-Control Study

Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols aim to reduce postoperative complications, shorten hospital stays, and improve patient outcomes. This study evaluates the effectiveness of ERAS in gynaecological surgeries compared to traditional perioperative care.

Methods: A prospective comparative study was conducted with 100 patients undergoing elective gynaecological surgeries, divided into two groups: ERAS (n=50) and conventional care (n=50). The ERAS group received multimodal analgesia, early oral intake, and early mobilization, while the conventional group followed standard protocols. Primary outcomes included length of hospital stay (LOS), postoperative pain scores, and complication rates.

Results: The ERAS group had a significantly shorter LOS (2.1 ± 0.5 days vs. 3.8 ± 1.2 days, p < 0.001), lower pain scores at 24 hours (3.2 ± 1.1 vs. 5.4 ± 1.3, p < 0.001), and fewer complications (8% vs. 20%, p = 0.04). Patient satisfaction was higher in the ERAS group (92% vs. 74%, p = 0.01).

Conclusion: ERAS protocols significantly improve recovery in gynaecological patients by reducing hospital stay, pain, and complications while enhancing patient satisfaction.