Observational studyAmerican journal of obstetrics and gynecology2020
Enhanced recovery after surgery outcomes in minimally invasive nonhysterectomy gynecologic procedures.
Observational study in American journal of obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 50 citations in OpenAlex.
- Assessing the impact of racial and ethnic disparities on 30-day emergency department visits after hysterectomy: A state-based retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Surgical management of endometriosis: indications, patient preparation, and perioperative planning: Number 6 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026Article
- Analysis of ambulatory gynecological laparoscopy in Southwestern China and predictors of discharge: a retrospective cohort : Ambulatory surgery delayed discharge analysis.Surgical endoscopy · 2025Article
- Association between operative time and short-term postoperative complications following minimally invasive surgery for stage III-IV endometriosis.BMC women's health · 2025Article
- The efficacy of single-incision laparoscopic surgery versus conventional laparoscopic surgery in the surgical management of ectopic pregnancy: A systematic review and meta-analysis.Turkish journal of obstetrics and gynecology · 2025Article
- Article
- Minimally Invasive Gynecologic Surgery and Enhanced Recovery and Outcomes: A Literature Review.Cureus · 2025Review
- Impact of Enhanced Recovery After Surgery (ERAS) guidelines implementation in deep infiltrating endometriosis surgery. A systematic review and meta-analysis.Facts, views & vision in ObGyn · 2025Article
- Impact of enhanced recovery after surgery concept process optimization on the perioperative period of gynecologic laparoscopic surgery.BMC women's health · 2025Observational
- Article
- Application and research progress of the rapid rehabilitation concept in the perioperative gynaecological period.Frontiers in oncology · 2025Review
- How to Reduce Delayed Gastric Emptying After Pancreatoduodenectomy: A Systematic Literature Review and Meta-Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Impact of patient-reported salpingitis on the outcome of hysterectomy and adnexal surgery: A national register-based cohort study in Sweden.Acta obstetricia et gynecologica Scandinavica · 2024Observational
- Enhanced Recovery after Pelvic Organ Prolapse Surgery.Journal of clinical medicine · 2023Review
- How has the COVID-19 pandemic affected patients' experience of pain management therapy?British journal of pain · 2023Article
- Validation of uterine artery embolization before surgical laparoscopic myomenucleation compared to single surgical laparoscopic myomenucleation for the treatment of large fibroids and uterus myomatosus.Frontiers in medicine · 2023Article
- Effect of the enhanced recovery after surgery protocol on recovery after laparoscopic myomectomy: a systematic review and meta-analysis.Gland surgery · 2022Article
- Systematic review of the effect of implementing enhanced recovery after surgery on selected attributes of surgical recovery in gynecologyTurkish journal of obstetrics and gynecology · 2021Article
- Recent advances in benign gynecological laparoscopic surgery.Faculty reviews · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundImproved patient outcomes and satisfaction associated with enhanced recovery after surgery protocols have increasingly replaced traditional perioperative anesthesia care. Fast-track surgery pathways have been extensively validated in patients undergoing hysterectomies, yet the impact on fertility-sparing laparoscopic gynecologic operations, particularly those addressing chronic pain conditions, has not been examined.
objectiveThe objective of the study was to determine the effects of enhanced recovery after surgery pathway implementation compared with conventional perioperative care in women undergoing laparoscopic minimally invasive nonhysterectomy gynecologic procedures. STUDY
designWe conducted a retrospective cohort study of women undergoing uterine-sparing laparoscopic gynecologic procedures for benign conditions (tubal/adnexal pathology, endometriosis, or leiomyomas) during a 24 month period before and after enhanced recovery after surgery implementation at a tertiary care center. We compared immediate perioperative outcomes and 30 day complications. The primary outcome was same-day discharge rates. Factors influencing unplanned admissions, postoperative pain, sedation, nausea, and vomiting represented secondary analyses.
resultsA total of 410 women (enhanced recovery after surgery, n = 196; conventional perioperative care, n = 214) met inclusion criteria. Following enhanced recovery after surgery implementation, same-day discharge rates increased by 9.4% (P = .001). Reductions in postoperative pain and nausea/vomiting represented the primary driving factor behind lower unplanned admissions. Higher preoperative antiemetic medication administration in the enhanced recovery after surgery group resulted in a 57% reduction in postanesthesia care unit antiemetics (P < .001). Total perioperative narcotic medication use was also significantly reduced by 64% (P < .001), and the enhanced recovery after surgery cohort still demonstrated significantly lower postanesthesia unit care pain scores at hours 2 and 3 (P < .001). A 19 minute shorter postanesthesia care unit stay was noted in the enhanced recovery after surgery cohort (P = .036). Increased same-day discharge did not lead to higher postoperative complications or changes in 30 day emergency department visits or readmissions in patients with enhanced recovery after surgery.
conclusionEnhanced recovery after surgery implementation resulted in increased same-day discharge rates and improved perioperative outcomes without affecting 30 day morbidity in women undergoing laparoscopic minimally invasive nonhysterectomy gynecologic procedures.
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