Enhanced Recovery Pathway in Gynecologic Surgery: Improving Outcomes Through Evidence-Based Medicine

Eleftheria Kalogera, Sean Christopher Dowdy

Research output: Contribution to journalReview article

31 Citations (Scopus)

Abstract

A paucity of data exists regarding traditional perioperative practices (bowel preparation, NPO at midnight, liberal narcotics, PCA use, liberal fluids, prolonged bowel and bed rest). Enhanced Recovery after Surgery (ERAS) is an evidence-based approach to peri-operative care associated with improved outcomes including earlier return of gastrointestinal function, reduced opioid use, shorter hospital stay, and substantial cost reductions with stable complication and readmission rates. Basic principles include patient education, minimizing preoperative fasting, avoiding bowel preparation, preemptive analgesia, nausea/vomiting prophylaxis, perioperative euvolemia, no routine use of drain and nasogastric tubes, early mobilization, oral intake, and catheter removal, non-opioid analgesics, and preemptive laxatives.

Original languageEnglish (US)
Pages (from-to)551-573
Number of pages23
JournalObstetrics and Gynecology Clinics of North America
Volume43
Issue number3
DOIs
StatePublished - Sep 1 2016

Fingerprint

Early Ambulation
Laxatives
Bed Rest
Gynecologic Surgical Procedures
Passive Cutaneous Anaphylaxis
Evidence-Based Medicine
Narcotics
Patient Education
Analgesia
Nausea
Opioid Analgesics
Vomiting
Analgesics
Fasting
Length of Stay
Catheters
Costs and Cost Analysis

Keywords

  • Abdominal hysterectomy
  • Benign
  • Enhanced recovery
  • Gynecologic surgery
  • Laparoscopic hysterectomy
  • Perioperative care
  • Vaginal hysterectomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Enhanced Recovery Pathway in Gynecologic Surgery : Improving Outcomes Through Evidence-Based Medicine. / Kalogera, Eleftheria; Dowdy, Sean Christopher.

In: Obstetrics and Gynecology Clinics of North America, Vol. 43, No. 3, 01.09.2016, p. 551-573.

Research output: Contribution to journalReview article

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