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Enhanced recovery after gynecologic surgery: Components and implementation

Authors
Mallika Anand, MD, MS
Emanuel C Trabuco, MD, MS
Section Editors
Girish P Joshi, MB, BS, MD, FFARCSI
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG

INTRODUCTION

Enhanced recovery after surgery (ERAS) programs are perioperative protocols of evidence-based interventions that have been grouped together with the goals of speeding functional recovery and improving postoperative outcomes. Also known as "enhanced recovery protocols" (ERP) or "fast-track surgery," ERAS programs typically include multidisciplinary and multimodal interventions aimed at minimizing the physiologic changes associated with surgery. Patient benefits associated with ERAS include reduction in postoperative opioid use and length of stay.

This topic will review ERAS programs as they apply to gynecologic surgery with a planned overnight stay, although many elements of the ERAS programs discussed here can be adapted for same-day major gynecologic surgery, such as same-day hysterectomy. Related topics on ERAS in colorectal surgery and general postoperative care are presented separately.

(See "Enhanced recovery after colorectal surgery".)

(See "Overview of post-anesthetic care for adult patients".)

(See "Overview of postoperative fluid therapy in adults".)

                     
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Literature review current through: Nov 2017. | This topic last updated: Oct 31, 2017.
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