ESPEN 2013 - Late breaking abstract submission
Late Breaking Abstract
ESPEN13-1805
ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL IN HYSTERECTOMIES FOR BENIGN VERSUS MALIGNANT DISEASE: A NONRANDOMISED PROSPECTIVE CONTROLLED STUDY
L. Wijk 1,*K. Franzen 1K. Nilsson 2O. Ljungkvist 3
1Dept of Obstet & Gynecol, School of Health and Medical Sciences, Örebro University, 2Dept of Obstet & Gynecol, School of Medicine, Örebro University, 3Dept of Surgery, School of Health and Medical Sciences, Örebro University, Örebro, Sweden
Rationale: The Enhanced Recovery After Surgery (ERAS) protocol has been studied widely for colorectal surgery primary in cancer patients, with consistent findings of faster and safer recovery after surgery. A few studies have been done with similar fast track protocols in gynecological surgery. In this study we introduced an ERAS protocol in gynecological surgery comparing hysterectomies performed for benign versus malignant indications.
Methods: From January to December 2012, 55 consecutive patients undergoing hysterectomy and salpingo-oophorectomy with or without omentectomy were included comparing patients operated for benign (n=34) or malignant disease (n= 21). Clinical data were prospectively collected. Primary outcomes were length of stay (LOS) and number of patients reaching target length of stay (tLOS) set to 2 days.
Results: There were no significant difference regarding LOS between patients operated for benign versus malignant disease with median (range) for benign 2 (1-5) versus malignant indications 2 (1-3) p=0,602 (Mann Whitney U-test), nor in the number of patients discharged at tLOS 76% versus 67% p=0,428. No differences were found in complications (6% versus 0% in primary stay, 15% versus 14% within 30 days after discharge), reoperations (0% versus 0%) and readmission (0% versus 5%).
Conclusion: We conclude that an ERAS protocol is feasible for hysterectomies operated for malignant disease.
Disclosure of Interest: None Declared
Keywords: ERAShysterectomy