• Ceska Gynekol · Jan 2019

    Review

    ERAS protocol in gynecologic oncology.

    • S Bajsová and J Klát.
    • Ceska Gynekol. 2019 Jan 1; 84 (5): 376-385.

    ObjectiveTo summarize current knowledge of the ERAS protocol in gynecologic oncology surgery.DesignReview article.SettingsDepartment of Obstetrics and Gynecology, University Hospital Ostrava, Ostrava, Department of Obstetrics and Gynecology, University of Ostrava, Ostrava.MethodsLiterature review, PubMed and Medline databases were used to search relevant literature from 1995 to 2019.ConclusionERAS (Enhanced Recovery after Surgery) is a perioperative treatment program based on evidence-based medicine. Guidelines consist of pre-operative, perioperative and post-operative care items. Implementation of the ERAS protocol leads to a decrease in complications up to 40% and a reduction in hospitalization by up to 30%, thereby reducing overall costs without increasing the number of rehospitalizations. Multidisciplinary cooperation not only with anesthesiologists and consultant surgeons, but also with nutritional specialists and nurses is crucial.

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