Why the study?
Postoperative adverse events, pain, and delayed bowel function remain barriers to early discharge and recovery after surgery, motivating perioperative medical optimization based on the ERAS program.
The ERAS program provides safe, high-quality perioperative care and is recommended as standard practice for all women undergoing elective gynecological surgery to reduce hospital stay and accelerate recovery.
ERAS may shorten hospital stays in gynecologic surgery; leaves open need for RCTs in obstetrics.
Key points The Enhanced Recovery After Surgery (ERAS) program is based on perioperative medical optimization, including pre-admission counseling, pain relief, carbohydrate intake, thromboembolism prophylaxis, standard anesthetic protocol, optimized intraoperative fluid administration, recovery of normal gastrointestinal function and early mobilization. The main objectives of the ERAS program are to reduce the length of hospital stay after surgery and accelerate the return of patients to normal daily activities without increasing complications, hospital readmission rates and cost. The ERAS program has been adopted in several surgical specialties and is associated with faster and safer recovery, better quality of life and patient satisfaction. The process of implementing this program involves a multidisciplinary team and all units dealing with the surgical patient. Postoperative adverse events, venous thromboembolism is an example, are associated with longer hospital stay and higher mortality rates. Furthermore, factors such as postoperative pain and resumption of bowel function continue to be barriers to early discharge and return to daily activities. The program provides safe, high-quality perioperative care and should become standard practice for all women undergoing elective gynecological surgery. The National Specialized Commissions on Ginecologic Endoscopy, Endometriosis and Oncological Gynecology of the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) endorse this document. The content production is based on scientific studies on a thematic proposal and the findings presented contribute to clinical practice. Publication History Article published online: 25 February 2022 © 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/) Thieme Revinter Publicações Ltda. Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
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Santiago et al. (2022) conducted a review in Gynecological surgery. Enhanced Recovery After Surgery (ERAS) program vs. Conventional perioperative care was evaluated. The Enhanced Recovery After Surgery (ERAS) program provides safe, high-quality perioperative care and should become standard practice for all women undergoing elective gynecological surgery.
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