Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery

Hongyun LIAO; Yali ZHOU; Hongyun GONG; Yiqun DUAN; Qiong LI; Siyu CHEN; Hong XU; Yixian YU

doi:10.12259/j.issn.2095-610X.S20220713

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 128-133

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

Citation:

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

Citation:

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

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Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery

doi: 10.12259/j.issn.2095-610X.S20220713

Dept. of Gynaecology，The First People’s Hospital of Kunming， Kumming Yunnan 650034，China

Received Date: 2022-05-17
Available Online: 2022-06-25
Publish Date: 2022-07-14

Abstract

Abstract

Objective To explore the effect of enhanced recovery after surgery strategy on stress factors and postoperative rehabilitation of patients with ovarian cystectomy under single-port laparoscopy. Methods A total of 68 patients with ovarian cystectomy under single-port laparoscopy from September 1, 2020 to September 30, 2021 in the first people's hospital of Kunming were randomly selected. The control group was given perioperative traditional intervention, Observation group implements ERAS strategy. The levels of perioperative heat shock protein 70 and C-reactive protein, pain digital score, clinical observation indexes （operation time, blood loss, intraoperative infusion volume, ventilation time, indwelling catheter time and out of bed time） and postoperative complications were compared between the two groups. Results There was no significant difference at operation time, blood loss, intraoperative infusion volume. The clinical indexes of ERAS group were better than those of control group at ventilation time, indwelling catheter time and out of bed time. There were differences in NRS scores between the two groups at 4 h and 8 h after surgery（P < 0.05）, but there was no significant difference at 24 h after surgery（P > 0.05）. The stress factors （HSP70 and CRP） of the two groups at admission was no significant difference（P > 0.05）, but at the time of anesthesia induction and 24 hours after the operation, the stress factor value in the control group was higher than the observation group（P < 0.05）. There was no significant difference in the incidence of adverse reactions between the two groups. Conclusions ERAS strategy is safe and effective in patients with ovarian cystectomy under single-port laparoscopic surgery, and can reduce perioperative stress response. The advantages of single-port laparoscopy combined with the ERAS strategy can make patients feel more secure and satisfied with the operation.
- Enhanced recovery after surgery,
- Stress factors,
- Single-port laparoscopy,
- Ovarian cystectomy

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