Prospective Observational study in patients undergoing gynaecological surgeries to estimate the preoperative fasting and postoperative resumption of oral intake and its effect on the immediate recovery profile

One of the most commonly being practiced surgeries in India include Gynecology. A catabolic state is induced in the body because of the surgical stress that leads to tissue hypoxia, increased cardiac demand, increased insulin resistance, altered pulmonary and GI functions and abnormal coagulation profiles. The goal of maintaining normal physiology in the perioperative period, thus optimizing patient outcomes without increasing postoperative complications or readmissions, led to the development of ERAS. Implementation of ERAS protocol began in the early 90’s with the aim of improving post operative outcomes. ERAS stands for ENHANCED RECOVERY AFTER SURGERY.

There is paucity of data on perioperative fasting and adherence to ERAS guidelines in gynaecologic practice in our country. Therefore we planned to do an observational study to estimate the duration of perioperative fasting, and assess how well ERAS guidelines with regard to perioperative fasting are implemented in the gynaecologic practice in our institution, and how it relates to the recovery of patients. The aim of this study will be to determine duration of perioperative fasting and its effect on the immediate recovery profile in patients undergoing gynaecologic and gynaecologic oncology surgeries.