Effects of Implementing an Enhanced Recovery after Surgery pathway on Hysterectomy Postoperative Outcomes

Abstract

Background: The implementation of an Enhanced Recovery after Surgery (ERAS) pathway for women undergoing hysterectomy represents a rigorously evidence-based strategy aimed at improving postoperative outcomes, mitigating complications, facilitating expedited recovery, and ultimately enhancing the quality of life alongside overall healthcare efficacy. Aim: To examine the effect of implementing an enhanced recovery after surgery pathway on hysterectomy postoperative outcomes. Research design: A quasi-experimental design was adopted. Setting: This research was conducted at the Obstetrics and Gynecology Department of Fayoum University Hospital, El-Fayoum Governorate, Egypt. Subjects: A convenience sample comprising 120 women undergoing hysterectomy was recruited based on specific inclusion criteria. Tools: Four tools were used: a structured interview questionnaire, a Numerical Rating Scale, a Postoperative functional recovery checklist, and Women’ Satisfaction Record. Results: There were statistically significant differences concerning all postoperative outcomes between the study and control groups (p = 0.001), along with a notable reduction in postoperative pain intensity observed in the study group in comparison to the control group on the second and third postoperative days (p = 0.001). Conclusion: The results concluded that the implementation of the enhanced recovery after surgery pathway for women undergoing hysterectomy markedly early ambulation so that early removal of time of bladder catheter, early return bowel motility, reduced postoperative pain, complication and hospital duration, and increased women's satisfaction. Recommendation: It is suggested to apply the ERAS pathway as a standard practice for all women undergoing elective gynecologic surgeries to enhance postoperative outcomes, minimize complications, and promote rapid recovery.