Enhanced Recovery after Surgery in Gynecology: A Review of the Literature

被引：94
作者：
Scheib, Stacey A. [1 ]
Thomassee, May [1 ]
Kenner, Jamaan L. [1 ]
机构：
[1] Louisiana State Univ, Hlth Sci Ctr, Dept Obstet & Gynecol, 1542 Tulane Ave,5th Floor, New Orleans, LA 70112 USA
来源：
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY | 2019年 / 26卷 / 02期
关键词：
Enhanced recovery; ERAS; Gynecology; Gynecologic surgery; Fast track; Same-day surgery; SAME-DAY DISCHARGE; TOTAL LAPAROSCOPIC HYSTERECTOMY; FAST-TRACK SURGERY; INTRAPERITONEAL CHEMOTHERAPY HIPEC; POSTOPERATIVE RECOVERY; ABDOMINAL HYSTERECTOMY; CYTOREDUCTIVE SURGERY; VAGINAL HYSTERECTOMY; CLINICAL-OUTCOMES; PROGRAM;
D O I：
10.1016/j.jmig.2018.12.010
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
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. (c) 2019 Published by Elsevier Inc. on behalf of AAGL.
引用
收藏
页码：327 / 343
页数：17
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