Enhanced Recovery after Surgery in Gynecology: A Review of the Literature

Enhanced Recovery after Surgery in Gynecology: A Review of the Literature

Enhanced recovery after surgery (ERAS), or “fast-track” protocol, aims to minimize the physiologic stress of surgery and optimize the rehabilitation of patients. However, there is limited data in obstetrics and gynecology. We reviewed the published literature on ERAS programs in gynecology to evalua...

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Bibliographic Details
Published in:Journal of minimally invasive gynecology Vol. 26; no. 2; pp. 327 - 343
Main Authors: Scheib, Stacey A., Thomassee, May, Kenner, Jamaan L.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-02-2019
Subjects:
Enhanced recovery
ERAS
Fast track
Gynecologic surgery
Gynecology
Same-day surgery
Same-day surgery
Gynecologic surgery
Enhanced recovery
Gynecology
Fast track
ERAS
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Summary:Enhanced recovery after surgery (ERAS), or “fast-track” protocol, aims to minimize the physiologic stress of surgery and optimize the rehabilitation of patients. However, there is limited data in obstetrics and gynecology. We reviewed the published literature on ERAS programs in gynecology to evaluate the outcomes and potential key elements for a successful program. Fifty studies were evaluated. We recommend preoperative counseling to the patient, no bowel preparation, an opioid-sparing multimodal approach to pain management, goal-directed fluid management, minimally invasive surgery when possible, and early mobilization and feeding. This is a multidisciplinary team effort and requires active patient participation in the process.
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ISSN:1553-4650
1553-4669
DOI:10.1016/j.jmig.2018.12.010