ERAS Protocol in Laparoscopic Hysterectomy

Study Overview
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Brief Summary
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ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay. This study aimed to investigate the impact of implementing ERAS protocols on healthcare costs in patients undergoing a laparoscopic hysterectomy.

Detailed Description
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ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay in various kinds of surgical procedures. This study aimed to investigate whether ERAS protocol has an impact on healthcare costs in patients undergoing a laparoscopic hysterectomy. Patients scheduled for laparoscopic hysterectomy will be allocated to one of the study groups: ERAS group patients will receive ERAS protocol during the perioperative period; Conventional care groups will undergo standard abdominal hysterectomy without the implementation of ERAS protocol. The groups will be compared with respect to the length of hospital stay, rehospitalizations, and healthcare costs.

Official Title
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The Impact of Implementing ERAS Protocol on Healthcare Costs in Patients Undergoing Laparoscopic Hysterectomy

Conditions
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Surgery

Intervention / Treatment
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* Other: Enhanced recovery after surge(ERAS) protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be scheduled for laparoscopic hysterectomy Exclusion Criteria: American Society of Anesthesiologists (ASA) class IV Development of complications during surgery Body mass index > 40 kg/m2

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: ERAS group<br>Patients in this group will receive ERAS protocol preoperatively, perioperatively and postoperatively. | Other: Enhanced recovery after surge(ERAS) protocol<br>* The components of ERAS multidisciplinary pathway concerning preoperative, operative, and postoperative period are as follows: Preoperative care: Counseling before hospital admission Fluid, and carbohydrate loading Avoiding prolongation of the fasting period Avoiding bowel preparation or its application only in selective cases Application of antibiotic prophylaxis Application of thromboprophylaxis Perioperative care: Use of short-acting anesthetic agents Application of midthoracic, epidural anesthesia/analgesia Refraining from using drains Refraining from salt, and water overload Maintenance of normothermia Postoperative care: Application of midthoracic, epidural anesthesia/analgesia Prevention of nausea, and vomiting Refraining from salt, and water overload Earlier removal of catheters Initiation of oral intake at an early period Use of nonopioid oral analgesics/NSAIDs Early mobilization<br>|
| No Intervention: Control<br>This group of patients will not receive ERAS care and will undergo a standard laparoscopic hysterectomy. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healthcare costs | Hospital costs will be obtained from the accounting office of the hospital | Up to one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of stay | Length of hospital stay | Up to one month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Enhanced recovery after surgery, Laparoscopic hysterectomy