Comparison of ERAS versus Conventional Protocols in Hysterectomy Patients

VAISHVI CHANDRESHBHAI PATEL; KISHAN SURESHBHAI ADROJA

Comparison of ERAS versus Conventional Protocols in Hysterectomy Patients

Author(s)	Dr. VAISHVI CHANDRESHBHAI PATEL, Dr. KISHAN SURESHBHAI ADROJA
Country	India
Abstract	Abstract Background: Enhanced Recovery After Surgery (ERAS) programmes are multimodal, evidence-based perioperative care pathways designed to reduce surgical stress and accelerate recovery. Their implementation in gynecologic surgery, including hysterectomy, has increased worldwide, but differences between ERAS and conventional care in hysterectomy patients remain an active area of study. [1–4] Objective: To synthesize current evidence comparing ERAS vs conventional perioperative protocols in patients undergoing hysterectomy (benign and oncologic indications) with emphasis on length of stay (LOS), postoperative complications, pain and opioid use, functional recovery, readmission rates, patient satisfaction, and healthcare costs. Methods: Narrative structured review of published guidelines, systematic reviews, randomized controlled trials (RCTs), cohort studies, and implementation reports from 2018–2025. Key sources include ERAS Society and specialty guidelines, systematic reviews/meta-analyses, recent RCTs and multicenter implementation studies. [2,5–8] Results: Across multiple observational studies, systematic reviews and guideline summaries, ERAS implementation in hysterectomy is consistently associated with reduced LOS (commonly by 24–72 hours depending on baseline), reduced opioid consumption, earlier return of bowel function, and improved patient-reported recovery scores without increases in overall complication or 30-day readmission rates. High-quality RCT evidence specifically restricted to hysterectomy is emerging but still limited; stepped-wedge and cluster RCT protocols and single-center RCTs report decreased LOS and analgesic requirements with ERAS pathways. Cost analyses and implementation reports show reduced resource use and potential cost savings after ERAS adoption. [4–11] Conclusions: ERAS protocols for hysterectomy improve several perioperative outcomes compared with conventional care, especially decreased LOS and opioid use, without increasing readmissions or major complications. Future high-quality multicenter randomized trials and consistent reporting of core outcomes (complications, readmissions, patient-reported recovery, and cost) are required to refine which ERAS components drive benefit in different hysterectomy types (abdominal, vaginal, laparoscopic, robotic). [2,9,12]
Keywords	Enhanced recovery after surgery, Hystrectomy, Conventional Perioperative Care, Length Of Stay, Opioid-Sparing Analgesia
Field	Biology > Medical / Physiology
Published In	Volume 16, Issue 3, July-September 2025
Published On	2025-09-29

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Comparison of ERAS versus Conventional Protocols in Hysterectomy Patients

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