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J Minim Invasive Gynecol · Feb 2019
Enhanced Recovery after Surgery in Gynecology: A Review of the Literature.
- Stacey A Scheib, May Thomassee, and Jamaan L Kenner.
- Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana (all authors).. Electronic address: stacey@scheib.com.
- J Minim Invasive Gynecol. 2019 Feb 1; 26 (2): 327-343.
AbstractEnhanced 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.Copyright © 2019. Published by Elsevier Inc.
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