Enhanced recovery after surgery in gynecologic oncology

Gretchen Glaser, Sean Christopher Dowdy, Abraham Peedicayil

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Enhanced recovery protocols consist of a bundle of concepts including early feeding, opioid-sparing multimodal pain management, and euvolemia, with the overarching goal of hastening postoperative recovery. Enhanced recovery after surgery has been shown to reduce hospital length of stay, reduce costs, and decrease perioperative opioid requirements in benign and oncologic gynecologic surgery. Interventions without supporting evidence of benefit, such as the use of mechanical bowel preparation, routine use of nasogastric tubes and surgical drains, caloric restriction, routine use of intravenous opioid analgesics, and over-vigorous intravenous hydration should be discouraged to improve broader endpoints such as patient satisfaction and overall recovery. Successful implementation requires engagement from a multidisciplinary team including surgeons, anesthesiologists, nurses, and pharmacists.

Original languageEnglish (US)
Pages (from-to)143-146
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume143
DOIs
StatePublished - Oct 1 2018

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Keywords

  • Enhanced recovery after surgery
  • ERAS
  • Fast-track surgery
  • FIGO Cancer Report
  • Quality improvement

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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