ERAS and MIS for Same-Day Discharge

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Genevieve Bouchard-Fortier. Dr. Bouchard-Fortier is an assistant professor in the Division of Gynecologic Oncology in the Department of Obstetrics and Gynecology at the University of Toronto and a member of the Division of Gynecologic Oncology at the University Health Network/Sinai Health Systems. Her research is focused on improving the quality of care of gynecologic oncology patients as well as developing quality metrics to measure outcomes. Highlights: • We implemented a perioperative program to increase same day discharge rate after minimally invasive hysterectomy from 30% to 75% in gynecologic oncology patients. • ERAS principles significantly improved the same day discharge rate while maintaining a low complication rate.

• Longer surgery, timing of surgery, and narcotic use were significantly associated with overnight admission.