{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:13:19Z","timestamp":1747149199025,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:00:00Z","timestamp":1670544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the perioperative outcomes of patients undergoing abdominal hysterectomies for leiomyomas before and after the implementation of an enhanced recovery after surgery (ERAS) protocol in a teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study compared a patient group from a historical series (pre\u2010ERAS) with another group after ERAS implementation. Fasting time, length of hospital stay, complications, readmission rates, and procedure\u2010related hospital costs were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Altogether, 187 patients were included in the analysis: 92 (49.2%) and 95 (50.8%) in the pre\u2010ERAS and ERAS groups, respectively. Both groups had similar clinical characteristics. We observed reductions in surgical outcome findings: fasting time (13.9 to 6.7\u00a0h, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), bladder catheter usage (21.1 to 10.9\u00a0h, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), infection rates (20.7% to 5.3%, <jats:italic>P<\/jats:italic>\u00a0=\u20090.002), length of stay (57.5 to 37.6\u00a0h), and 38.4% of the total estimated mean cost per procedure (USD $1570.8 to USD $967.2, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) in the pre\u2010ERAS and ERAS groups, respectively. Hospital readmission rates (<jats:italic>P<\/jats:italic>\u00a0&gt;\u20090.99) did not increase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ERAS protocol implementation for hysterectomies involving uterine leiomyomas reduced the length of hospital stay, surgical site infection rates, and hospital costs. A mean savings of USD $603.6 per procedure would allow 62.4% more hysterectomies to be performed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14594","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T04:12:29Z","timestamp":1669608749000},"page":"607-615","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010term outcomes after an enhanced recovery after surgery protocol in abdominal hysterectomies for leiomyomas in a teaching hospital"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2436-5939","authenticated-orcid":false,"given":"Vanessa","family":"Alvarenga\u2010Bezerra","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein Gynecology Department  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9997-6668","authenticated-orcid":false,"given":"Renato","family":"Moretti\u2010Marques","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein Gynecology Department  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana G.","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Hospital Municipal Dr. Moises Deustch Gynecology Department  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela M.","family":"Rios","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein Gynecology Department  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana C. 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