Enhanced recovery after gynecologic surgery: Components and implementation
- Mallika Anand, MD, MS
Mallika Anand, MD, MS
- Assistant Professor of Obstetrics and Gynecology
- Boston University School of Medicine
- Division of Urogynecology, Boston Medical Center
- Emanuel C Trabuco, MD, MS
Emanuel C Trabuco, MD, MS
- Associate Professor
- Department of Obstetrics and Gynecology
- Division of Urogynecology
- Mayo Clinic
- Section Editors
- Girish P Joshi, MB, BS, MD, FFARCSI
Girish P Joshi, MB, BS, MD, FFARCSI
- Section Editor — Fundamentals of Anesthesia
- Professor of Anesthesiology and Pain Management, Director of Perioperative Medicine and Ambulatory Anesthesia
- University of Texas Southwestern Medical Center at Dallas
- Tommaso Falcone, MD, FRCSC, FACOG
Tommaso Falcone, MD, FRCSC, FACOG
- Section Editor — Minimally Invasive Gynecologic Surgery
- Professor of Obstetrics and Gynecology
- Cleveland Clinic Lerner College of Medicine
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.To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- - Patient education
- - Health status optimization
- - Patient preparation
- - Multimodal analgesia and anesthesia
- - Interventions specific to the surgical team
- - Interventions specific to the anesthesia team
- Postoperative follow-up
- RESOURCES FOR PATIENTS AND CLINICIANS
- SUMMARY AND RECOMMENDATIONS