Enhanced recovery after surgery (ERAS) for deep infiltrating endometriosis surgery: Experience of a French center - 29/03/24
, Aubert Agostini a, Sandrine Loubière b, Pascal Auquier b, Nicolas Pirro c, Antoine Netter a, Audrey Pivano aAbstract |
Objective |
The objective of the study was to evaluate the implementation of an ERAS programme for deep pelvic endometriosis (DPE) surgery in terms of length of stay (LOS), postoperative complications (POC) and rehospitalisation rate.
Methods |
This was a comparative retrospective monocentric study in the Gynaecologic Department of the La Conception Hospital in Marseille, France. We compared a ‘conventional’ group, with classic perioperative management corresponding to patients undergoing DPE surgery between April 8, 2014 and January 23, 2018, and an ‘ERAS’ group after setting up the ERAS protocol from February 6, 2018 to March 6, 2020.
Results |
A total of 101 patients with DPE surgery were included, with 39 in the conventional group and 53 in the ERAS group. The LOS decreased by 1.91 days (p < 0.001). During the 45 postoperative days, no difference was found in rehospitalised rate (p = 1). The POC rate was 15/39 (38.5 %) in the conventional group and 12/53 (22.6 %) in the ERAS group (p = 0.1).
Conclusion |
The implementation of an ERAS programme for DPE surgery is an effective strategy because it can reduce the LOS without increasing the POC rate.
Le texte complet de cet article est disponible en PDF.Keywords : Enhanced recovery after surgery, Deep pelvic endometriosis, Gynaecologic surgery, Length of stay
Plan
Vol 53 - N° 6
Article 102771- juin 2024 Retour au numéro
Article précédent
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