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Abstract

Background and Objective: Enhanced Recovery After Surgery (ERAS) protocols provide a comprehensive, evidence-based approach to perioperative care before, during, and after surgery. This study aimed to describe the development process and initial application of ERAS protocols in gynecologic surgeries compared to conventional care methods in a university referral center. This randomized, single-blind clinical trial was conducted on patients undergoing gynecologic laparotomy surgeries at Firoozgar Hospital. A total of 88 patients were randomly assigned into two equal groups: 44 patients received care under the ERAS protocol, and 44 patients received conventional care. Demographic and clinical data were collected, and postoperative outcomes—including symptoms such as bloating, nausea, vomiting, pain severity (assessed by VAS), infection, systemic inflammatory response, patient satisfaction, and quality of life—were evaluated one month after surgery. Additionally, length of hospital stay, time to mobilization (out-of-bed), and final prognosis including readmission rates were carefully recorded. Data analysis was performed using SPSS software. Patients in the ERAS group experienced fewer serious postoperative complications requiring hospitalization, reported higher satisfaction, and demonstrated improved quality of life compared to the conventional group. Although pain severity decreased over time in both groups, it was consistently lower in the ERAS group. Moreover, the length of hospital stay was significantly shorter for patients managed under the ERAS protocol compared to those receiving conventional care (P < 0.005). The findings indicate that implementation of ERAS protocols in gynecologic laparotomy surgeries yields positive outcomes, including reduced postoperative complications and improved patient satisfaction and quality of life compared to conventional care‎.

Keywords: Enhanced Recovery After Surgery (ERAS) protocols, Conventional care, Quality of life, Patient satisfaction