Research Information System
4th National ERAS Meeting with Joint International Meeting on ERAS , İstanbul, Turkey, 18 - 20 September 2025, no.6, pp.65-67, (Summary Text)
Pub No: OP-08 The Enhanced Recovery After Surgery (ERAS) Protocols in Gynecologic and Gynecologic-oncologic Surgeries: Preliminary Results Pelin Ozbakir Demir1, Esra Isci Bostanci2, Dudu Berrin Gunaydin3, Nuray Bozkurt1, Funda Cevher Akdulum1 1Gazi University Faculty of Medicine, Department Ob&Gyn 2Gazi University Faculty of Medicine, Department Ob&Gyn, Division of Gynecologiconcology 3Gazi University Faculty of Medicine, Department of Anesthesiology and Reanimation Introduction / Purpose: Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach aimed at improving postoperative recovery, reducing complications, and enhancing patient satisfaction. In gynecologic and gynecologic-oncologic surgeries, ERAS protocols have shown benefits such as improved pain control, earlier return of gastrointestinal function, and shorter hospital stays (1,2). Despite its global implementation, data on its effectiveness for patients undergoing surgery in Türkiye remain limited(3). Our aim is to determine the effectiveness of ERAS and to increase the applicability. Materials And Method: This is the preliminary data of our prospective, single-center study and includes 60 patients ≥18 years old who underwent laparoscopic or abdominal gynecologic/gyneco-oncologic surgery between February and May 2025. Patients were divided into an intervention group (n=30, ERAS protocol) and a control group (n=30, traditional care). Data were analyzed using Chi-square and Mann-Whitney U tests. Findings: Fasting time was significantly shorter in the ERAS group (p < 0.001). Preoperative carbohydrate loading was performed in 76.7% of the ERAS group but in none of the controls (p < 0.001). In the ERAS group, 43.3% began oral fluid intake within 8 hours vs. 0% in the control group (p < 0.001); 63.3% consumed soft food within 12 hours vs. 20% in controls (p < 0.001). Gas passage within 24 hours occurred in 63.3% of ERAS patients vs. 10% in controls (p=0.001), and was higher in those receiving bowel stimulation (p < 0.001). Mean pain score in patients receiving only paracetamol was 1.57±0.76 vs. 3.02±1.42 in those needing additional analgesics (p < 0.001). The average length of hospital stay was shorter in the ERAS group (2.3±1.24 vs. 3.73±1.72 days, p < 0.001).
Discussion / Conclusion: Implementation of ERAS protocol significantly improves early recovery, gastrointestinal function, and pain control, while reducing hospital stay in gynecologic and gyneco-oncologic surgery patients. It is feasible and safe in surgical era also promising in health-care systems. Keywords: ERAS, gynecologic oncology, surgery, postoperative advantages