期刊
NURSING & HEALTH SCIENCES
卷 25, 期 1, 页码 30-43出版社
WILEY
DOI: 10.1111/nhs.13000
关键词
enhanced recovery after surgery; gynecological surgery; length of stay; meta-analysis; randomized controlled trials; systematic review
类别
Enhanced recovery after surgery protocol has a positive effect on perioperative outcomes for women undergoing gynecologic surgery, including reduced length of stay, time to first flatus and first defecation, complications, and readmission rates. However, there is heterogeneity between studies, and more research is needed to draw reliable conclusions on the favorability of enhanced recovery after surgery.
Enhanced recovery after surgery protocol is a multidisciplinary and multimodal approach designed to improve perioperative outcomes for patients. This meta-analysis aimed to identify and elaborate on the efficacy of this protocol in women undergoing gynecologic surgery. Four databases were searched for randomized controlled trials from inception to December 2021. A total of 14 studies met the inclusion criteria and were analyzed. There was a significant reduction in the length of stay, the time to first flatus and first defecation, complications, and readmission rates in patients undergoing enhanced recovery after surgery when compared to routine care. The rate of discharge on the first postoperative day significantly increased in patients from the enhanced recovery group. There was no significant difference in the surgery time and blood loss. In conclusion, the enhanced recovery after surgery protocol might have a positive effect on patients undergoing gynecologic surgery. However, there is still heterogeneity between the included studies, and we need more research to draw reliable conclusions that enhanced recovery after surgery is favorable.
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