Back to Search Start Over

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

Authors :
Scheib SA
Thomassee M
Kenner JL
Source :
Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2019 Feb; Vol. 26 (2), pp. 327-343. Date of Electronic Publication: 2018 Dec 20.
Publication Year :
2019

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.<br /> (Copyright © 2019. Published by Elsevier Inc.)

Details

Language :
English
ISSN :
1553-4669
Volume :
26
Issue :
2
Database :
MEDLINE
Journal :
Journal of minimally invasive gynecology
Publication Type :
Academic Journal
Accession number :
30580100
Full Text :
https://doi.org/10.1016/j.jmig.2018.12.010