Objective:To investigate the effect of enhanced recovery after surgery(ERAS)management model in patients un-dergoing laparoscopic ovarian castration during perioperative period.Methods:A total of 120 patients with breast cancer who required laparoscopic ovarian castration from Nov.2019 to Jan.2023 were selected and randomly divided into ERAS group(n=60)and control group(n=60).The control group was treated with routine gynecological perioperative management,while the ERAS group was treated with multidisciplinary ERAS management model.The preoperative and postoperative anxiety and depression,operative time,postopera-tive recovery(first time of ambulation after surgery,anal exhaust time,complications within 7 d),total hospital stay,diagnosis and treat-ment costs,pain,nausea and vomiting were recorded and compared between the two groups.Results:The preoperative self-rating anxiety scale and self-rating depression scale scores were not significantly different between the two groups(P>0.05),the postoperative scores in ERAS group were lower than those in control group(P<0.05).There was no significant difference in operative time between the two groups(P>0.05).The first time of ambulation,anal exhaust time,total hospital stay,diagnosis and treatment costs in ERAS group were significantly lower than those in control group(P<0.05).There were no significant differences in the complications such as pharyngeal discomfort,infection,thrombosis and other gastrointestinal symptoms between the two groups(P>0.05).Pain scores,nausea and vomi-ting incidences at 3,6,12 and 24 h postoperatively in ERAS group were lower than those in control group(P<0.05).Conclusions:ERAS management mode can improve anxiety and depression in patients undergoing laparoscopic ovarian castration,reduce postopera-tive complications such as pain,nausea and vomiting,promote postoperative recovery,reduce total hospital stay and save diagnosis and treatment costs.
Ovarian castrationLaparoscopyEnhanced recovery after surgery
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