Article Text

Download PDFPDF
EP1096 Implementing enhanced recovery after surgery (ERAS) pathways in major gynecologic oncology operations in Greece (The pre-eliminary results of our department)
  1. M Bourazani1,
  2. E Karopoulou2,
  3. N Fyrfiris1,
  4. S Poulopoulou1,
  5. G Fasoi3,
  6. M Kelesi3 and
  7. D Papatheodorou2
  1. 1Department of Anesthesiology
  2. 2Department of Gynecology, 'Agios Savvas' General Anti-Cancer Hospital
  3. 3Department of Nursing, University of West Attica, Athens, Greece


Introduction/Background The Enhanced Recovery After Surgery (ERAS) program includes preoperation counseling, avoidance of fasting, nonopioid analgesia, fluid balance, normothermia and early mobilization. ERAS pathways were developed to reduce hospital length of stay, reduce costs and decrease perioperative opioid requirements.

Methodology Patients were randomly allocated in two groups: An Eras pathway group including preoperative counseling, early feeding/mobilization, and opioid-sparing multimodal analgesia; and a classic model group of post operative recovery as control.

Results Sixty-one patients were recruited in our study who underwent gynecologic oncolgy surgery (35 in the ERAS group and 26 in the control group) with mean age 52.9 years (SD=11.7). Hospital stay was significantly longer in the control group as compared to the ERAS group (5.1±2.4 days vs. 3.1±1.3 days, p=0.001). Pain levels according to Numeric Rating Scale (NRS) and Present Pain Intensity (PPI) scale were higher in the control group at all-time points except from baseline. Pain according to NRS at rest was significantly decreased from 24h to 48h and from 48h to 72h (p<0.001) in the control group; while in the ERAS group there was a continual and significant reduction from 6h to 72h (p<0.05). Additionally, pain according to (NRS) at movement was found to be significantly increased from 45 min to 2h (p=0.045) in the control group and afterwards remained stable until 24h where a significant decrease was recorded continuously until 72h. NRS at movement in the ERAS group showed a significant and continual decrease from 6h to 72h (p<0.001). Pain according to PPI scale was significantly decreased from 24h to 48h (p<0.001) and from 48h to 72h (p=0.011) in the control group.

Conclusion Implementation of ERAS pathways was associated with reduction in length of stay, lower pain-scores levels according to NRS and PPI scale (both at rest and at movement), and generally better surgical.

Disclosure Nothing to disclose

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.