Feasibility and safety of planned early discharge following laparotomy in gynecologic oncology with enhanced recovery protocol including opioid-sparing anesthesia
| Title: | Feasibility and safety of planned early discharge following laparotomy in gynecologic oncology with enhanced recovery protocol including opioid-sparing anesthesia |
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| Authors: | Michelle L. Kuznicki, Maya Yasukawa, Adrianne R. Mallen, Clarissa Lam, Erica Eggers, Jefferson Regis, Ali Wells, Sarah L. Todd, Sharon E. Robertson, Jean-Paul Tanner, Matthew L. Anderson, Thomas J. Rutherford |
| Source: | Frontiers in Surgery, Vol 10 (2023) |
| Publisher Information: | Frontiers Media S.A., 2023. |
| Publication Year: | 2023 |
| Collection: | LCC:Surgery |
| Subject Terms: | ERAS, planned early discharge, quality of life, opioid-sparing anesthesia, gynecology oncology, Surgery, RD1-811 |
| More Details: | ObjectiveThis study aims to evaluate the feasibility and safety of planned postoperative day 1 discharge (PPOD1) among patients who undergo laparotomy (XL) in the department of gynecology oncology utilizing a modified enhanced recovery after surgery (ERAS) protocol including opioid-sparing anesthesia (OSA) and defined discharge criteria.MethodsPatients undergoing XL and minimally invasive surgery (MIS) were enrolled in this prospective, observational cohort study after the departmental implementation of a modified ERAS protocol. The primary outcome was quality of life (QoL) using SF36, PROMIS GI, and ICIQ-FLUTS at baseline and 2- and 6-week postoperative visits. Statistical significance was assessed using the two-tailed Student's t-test and non-parametric Mann–Whitney two-sample test.ResultsOf the 141 subjects, no significant demographic differences were observed between the XL group and the MIS group. The majority of subjects, 84.7% (61), in the XL group had gynecologic malignancy [vs. MIS group; 21 (29.2%), p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2296-875X |
| Relation: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1279907/full; https://doaj.org/toc/2296-875X |
| DOI: | 10.3389/fsurg.2023.1279907 |
| Access URL: | https://doaj.org/article/dd74de624e9c431eb71a25e56842dd03 |
| Accession Number: | edsdoj.74de624e9c431eb71a25e56842dd03 |
| Database: | Directory of Open Access Journals |
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