What are the challenges associated with the ERAS implementation protocols?

Module 5 Article Summary


Jenna Horgan

St Thomas University

NUR 416

Professor Henriquez

February 20, 2022









Module 5 Article Summary

Background of the study

The quality of healthcare services is crucial in gynecological laparoscopic surgery. Multimodal rehabilitation permits optimal recovery in surgery patients by lowering hospital stays. Prevention procedures after surgery curb wound infections. Pre-surgical education and reeducation play a significant role in alleviating doubts over the introduction of surgery protocols. Various guidelines for gynecological surgery have been published based on retrospective studies (Boitano et al., 2018). Thus there was a need for investigating enhanced recovery after surgery protocol (ERAS) using a prospective approach.

Study Type

A prospective cohort study was used and involved 90 participants in the hospital setting between 2017 and 2019. The inclusion criteria include patients scheduled for laparoscopic hysterectomy from non-recurrent causes (Jimenez et al., 2021). The exclusion criteria were for patient with an ASA score of > II. The data collection involved a multidisciplinary team such as nurses, anesthesiologists and gynecologists.


The study aim was to assess the implementation of enhanced recovery after surgery protocol (ERAS) for laparoscopic hysterectomy patients. Other goals were to assess the influence of ERAS protocol on postoperative stay, readmission, and morbidity and to evaluate adherence to ERAS protocols (Jimenez et al., 2021).

Research questions

The research questions include:

· Does the implementation of ERAS protocols in gynecological laparoscopic surgery reduce hospital stays with increasing complications associated with surgery?

· What are the challenges associated with the ERAS implementation protocols?

· How does patient adherence to ERAS protocol affect the readmission rates in patients who have undergone gynecological laparoscopic surgery?


The study revealed that the ERAS protocol implementation was feasible in gynecological laparoscopic surgery. It was an option that reduced the hospital stays devoid of increasing the readmission rates and after surgery complications.






Jimenez, J. C. V., Serrano, B. T., Muñoz, E. V., Pérez, B. S., & Jimenez Lopez, J. S. (2021). New surgical realities: implementation of an enhanced recovery after surgery protocol for gynecological laparoscopy—a prospective study. Perioperative Medicine10(1), 1-6. https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-021-00221-4

Boitano, T. K., Smith, H. J., Rushton, T., Johnston, M. C., Lawson, P., Leath III, C. A., … & Straughn Jr, J. M. (2018). Impact of enhanced recovery after surgery (ERAS) protocol on gastrointestinal function in gynecologic oncology patients undergoing laparotomy. Gynecologic Oncology151(2), 282-286. https://www.sciencedirect.com/science/article/abs/pii/S0090825818312204