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Enhanced Recovery after Surgery in Gynecology: A Review of the Literature.
- 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.)
- Subjects :
- Ambulatory Surgical Procedures
Analgesics, Opioid
Clinical Protocols
Counseling
Early Ambulation methods
Epidemiologic Methods
Female
Fluid Therapy methods
Genital Diseases, Female rehabilitation
Humans
Hysterectomy methods
Laparoscopy methods
Nutritional Support
Pain Management methods
Pain, Postoperative prevention & control
Patient Care Planning
Patient Care Team
Perioperative Care methods
Genital Diseases, Female surgery
Hysterectomy rehabilitation
Laparoscopy rehabilitation
Subjects
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