Enhanced Recovery after Surgery in Gynecology: A Review of the Literature.
J Minim Invasive Gynecol
; 26(2): 327-343, 2019 02.
Article
em En
| MEDLINE
| ID: mdl-30580100
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Doenças dos Genitais Femininos
/
Histerectomia
Tipo de estudo:
Guideline
/
Systematic_reviews
Limite:
Female
/
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article