الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
ERAS combines unimodal, evidence-based interventions into a combined programme with the goal of improving recovery through a decline in surgical stress response. This, in turn, leads to a reduction in hospital stay length and complications, as well as an increase in patient satisfaction.
ERAS has been successfully implemented in a variety of surgical disciplines around the world. Inpatient gynecologic surgery, unlike other disciplines, has a wide range of complexity: interventions range from simple hysterectomy to advanced cytoreductive cancer surgery.
The goal of the ERAS or ”fast-track” protocol is to reduce the physiologic stress of surgery as well as optimise patient rehabilitation. Unfortunately, ERP implementation in nonmalignant gynecologic surgery has been sluggish, and evidence on clinical outcomes and cost-savings is lacking.
The ERAS programme has been successfully deployed on a global scale and is a systematic application that integrates surgeons, anesthesiologists, nurses, and assistant healthcare workers in the care process. Research on ERAS protocols demonstrate the active applicability of this system in several surgical specialties.
High-quality research has repeatedly demonstrated that ERP is linked to shorter hospital stays and improved or stable rates of postoperative complications and readmission.
Benign gynecologic surgery includes a broad range of treatments carried out in a variety of clinical and surgical settings by gynaecologists with both general and fellowship training.
The formation of a team comprised of key individuals from each involved unit is critical in changing practise and implementing an ERAS pathway. The approach to surgical patient care in the various departments of the hospital must be multimodal and multidisciplinary. An ERAS programme is implemented by a team of surgeons, anaesthetists, an ERAS coordinator (often a nurse or a physician assistant), dieticians, physiotherapists and nurses, from units that manage the surgical patient. It is not a single factor will improve surgical outcomes on its own. Adherence to the programme is critical, and continuous auditing of the patient care provides the team with a complete picture of the patient outcomes. Minimally invasive surgery is an essential component of an ERAS program and should be the go-to surgical technique whenever possible.
The aim of this study was to implement enhanced recovery after surgery program in benign gynecological surgeries.
This study included patients presented at the department of Obstetrics and Gynaecology of the Faculty of Medicine, Alexandria University. Clinical Trial study was used to carry out this research and all patients were divided into two groups:
group A: Patients who was not be treated with ERAS protocol (control group)
group B: Patients who were treated with ERAS protocol