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

Abstract:

: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.

authors

Scheib SA,Thomassee M,Kenner JL

doi

10.1016/j.jmig.2018.12.010

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

327-343

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(18)31415-8

journal_volume

26

pub_type

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